结果导向:一种对概率的误解,损害了医学研究和实践
Perspectives in biology and medicine
|September 28, 2023
概括
认知偏见,如结果导向,通过偏好个人预测而不是统计概率来损害医学研究. 这种偏见破坏了基于证据的医学和随机对照试验.
科学领域:
- 认知心理学 认知心理学
- 医学研究方法论医学研究方法论.
- 生物统计学 生物统计学
背景情况:
- 人类对随机性的理解受到认知偏见的影响.
- 一种鲜为人知的偏见,即"结果导向",影响了医学推理.
研究的目的:
- 将结果导向与医学问题联系起来.
- 描述这种偏见在医学研究和实践中的潜在危害.
主要方法:
- 在医学背景下对认知偏见的概念分析.
- 检查结果导向是如何偏离概率推理的.
主要成果:
- 结果导向预测事件的个性化,忽略了群体的频率.
- 这种偏见与贝叶斯推理和概率定律不相容.
- 它提倡一次性因果叙述,而不是统计概括.
结论:
- 结果导向削弱了对医学随机对照试验的支持.
- 它倾向于减少主义的方法,而不是基于证据的实践.
- 个性化医疗修辞可以通过专注于个人属性而不是机会来加剧这种偏见.
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