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Volume 12 Issue 3
May  2021
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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
shu

Philosophical Basis of Evidence-based Medicine

  • 1.

    Clinical Epidemiology Unit, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

  • 2.

    Medical Research Center, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

  • 3.

    Department of Gastroenterology, Department of Endocrinology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

  • 4.

    Department of Endocrinology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

  • 5.

    Department of Infectious Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

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

  • Received Date: March 16, 2021
  • Accepted Date: April 29, 2021
  • Issue Publish Date: May 29, 2021
    Graphical Abstract
    • Abstract
  • In this essay, we discussed the philosophical basis of evidence-based medicine regarding epistemology.Medical practice mainly has been following rational reasoning for a long period of time. However, developments of modern epidemiology call rational reasoning in medicine into question. Evidence-based medicine endorses the central role of research evidence in decision-making. Therefore, its philosophical basis should be empiricism rather than rationalism. As empiricism does not completely exclude rationality from knowledge, evidence-based medicine does not use research evidence as a "one-size-fits-all" approach and claims that decisions can be based on rationality knowledge when lacking empirical observations. No matter what philosophical basis of evidence-based medicine is, the ultimate goal should always be achieving the largest benefits for patients in medical practice.
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    • References (38)
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