参考类问题是真实的:健康调整的参考类和低骨矿物质密度
1Erasmus University Rotterdam, Rotterdam, The Netherlands.
The Journal of medicine and philosophy
|February 28, 2024
概括
这项研究挑战了生物统计健康理论,认为医生根据健康知识和实用因素调整参考类,而不仅仅是客观的生物数据. 这些发现凸显了医学诊断的动态性质.
科学领域:
- 医学哲学 医学哲学
- 医学诊断 医学诊断 医学诊断
背景情况:
- 克里斯托弗·布尔斯的生物统计学理论 (BST) 基于自然生物功能来定义健康.
- 埃尔赛琳·金马批评BST,质疑其参考类的客观性.
- 最近有人提出对金马的担忧的哲学反驳.
研究的目的:
- 评估对金马对BST的批评进行反驳的理论充分性.
- 证明医生在医疗实践中积极调整参考类.
- 探索先前的健康知识和实用考虑在定义参考类中的作用.
主要方法:
- 对关于BST和参考类的哲学论据的分析.
- 检查诊断儿童骨矿物质密度低的临床实践.
- 案例研究侧重于使用年龄调整的参考类和额外因素.
主要成果:
- 对金马的担忧的反驳在理论上被认为是不令人信服的.
- 医生利用BST的年龄,性别和物种之外的因素,包括青春期状态,骨龄,身体大小和肌肉质量.
- 参考类是根据先前的健康和疾病知识和实用原因进行校准的,例如预测脆弱性骨折.
结论:
- 生物统计学理论的参考类不是客观或自然地确定,正如声称的那样.
- 医生的诊断实践表明了灵活和取决于背景的方法来定义参考类.
- 该研究强调了将临床判断和务实目标纳入健康和疾病定义的重要性.
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