临床知识的艺术和科学:超越尺度和数字的证据
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
概括
临床决策涉及的不仅仅是受控实验,还包括沟通和经验. 定性研究方法通过探索从业者的默认知识,为医学科学提供了更广泛的理解.
科学领域:
- 医学科学 医学科学 医学科学
- 临床实践 临床实践
背景情况:
- 医学实践依赖于科学知识,但临床决策超越了受控实验.
- 基于证据的医学被广泛接受,但患者护理涉及解释性行动,沟通和经验.
研究的目的:
- 突出传统定量研究在获取临床知识方面的局限性.
- 倡导将定性研究方法纳入医学科学的理解.
主要方法:
- 定性研究方法包括从谈话或观察中系统地收集和解释文本材料.
- 这些方法探索社会事件在其自然背景下,由个人经历.
主要成果:
- 量化方法是有限的,因为它们只包含可控制,可测量和可计数的现象.
- 经验丰富的从业者的默认知识,包括沟通,意见和经验,需要调查.
结论:
- 定性调查提供了对医学科学的更全面的理解.
- 整合定性方法可以丰富对临床知识和实践的理解.
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