臨床知識の芸術と科学:測定と数字を超えた証拠
1Section for General Practice, Department of Public Health and Primary Health Care, University of Bergen, Ulriksdal 8C, N-5009, Bergen, Norway. kirsti.maltrud@isf.uib.no
Lancet (London, England)
|August 15, 2001
まとめ
臨床的決定には,制御された実験以上のものがあり,コミュニケーションと経験を組み込む必要があります. 定性的な研究方法は,医療従事者の黙示的な知識を探求することによって,医学科学のより広範な理解を提供します.
科学分野:
- 医学科学 医学科学 医学科学 医学科学
- クリニカル・プラクティス クリニカル・プラクティス
背景:
- 医療実践は科学的知識に依存しているが,臨床的決定は制御実験を超えて広がっている.
- 根拠に基づいた医学は広く受け入れられているが,患者ケアには解釈行動,コミュニケーション,経験が含まれる.
研究 の 目的:
- 臨床知識の収集における伝統的な定量研究の限界を強調する.
- 医学科学の理解に定性的な研究方法の組み込みを提唱する.
主な方法:
- 定性的な研究方法は,話し方や観察から得られたテキスト資料の体系的な収集と解釈を伴う.
- これらの方法は,個人が経験する自然的な文脈内の社会的出来事を探求します.
主要な成果:
- 定量的な方法は,制御し,測定し,数える現象のみを組み込むため,制限されています.
- コミュニケーション,意見,経験を含む経験豊富な実践者の黙示的な知識は,調査を必要とします.
結論:
- 質的調査は,医学科学のより包括的な理解を提供します.
- 定性的な方法を統合することで,臨床知識と実践の理解を豊かにすることができます.
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