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试论循证医学的哲学基础

张越伦 吴东 李乃适 刘晓清

张越伦, 吴东, 李乃适, 刘晓清. 试论循证医学的哲学基础[J]. 协和医学杂志, 2021, 12(3): 401-406. doi: 10.12290/xhyxzz.2021-0266
引用本文: 张越伦, 吴东, 李乃适, 刘晓清. 试论循证医学的哲学基础[J]. 协和医学杂志, 2021, 12(3): 401-406. doi: 10.12290/xhyxzz.2021-0266
ZHANG Yuelun, WU Dong, LI Naishi, LIU Xiaoqing. Philosophical Basis of Evidence-based Medicine[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(3): 401-406. doi: 10.12290/xhyxzz.2021-0266
Citation: ZHANG Yuelun, WU Dong, LI Naishi, LIU Xiaoqing. Philosophical Basis of Evidence-based Medicine[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(3): 401-406. doi: 10.12290/xhyxzz.2021-0266

试论循证医学的哲学基础

doi: 10.12290/xhyxzz.2021-0266
基金项目: 

中国医学科学院北京协和医学院教学课题研究生教材建设《临床研究方法》 10023201600109

详细信息
    通讯作者:

    刘晓清 电话:010-69155087,E-mail:liuxq@pumch.cn

  • 中图分类号: R181;B01

Philosophical Basis of Evidence-based Medicine

Funds: 

Peking Union Medical College Educational Research Grant for Postgraduate Textbook Development 10023201600109

More Information
    Corresponding author: LIU Xiaoqing Tel: 86-10-69155087, E-mail: liuxq@pumch.cn
  • 摘要: 本文在哲学认识论的框架内探讨循证医学的哲学基础。在相当长的历史时期中,医学实践主要遵循理性推理。随着医学研究方法学的进步与发展,纯粹基于理性的医学实践开始受到质疑。循证医学将研究证据置于决策的中心地位,因此其哲学基础是经验论。然而,循证医学并未将经验论与理性绝对对立起来,正如经验论并不完全否认理性的作用,当严谨的系统性观察经验缺如时,循证医学主张应基于理性思维进行推理,由此获得的知识也可用于决策。无论是基于严谨的系统性观察经验还是理性推理进行决策,其终极目的都应使患者从医疗实践中受益。
    作者贡献:张越伦负责撰写文章;吴东、李乃适负责修订文章;刘晓清负责审校文章。
    利益冲突  无
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出版历程
  • 收稿日期:  2021-03-17
  • 录用日期:  2021-04-30
  • 刊出日期:  2021-05-30

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