在医疗保健的认识不公正的基本问题
Kasper Møller Nielsen1, Julie Nordgaard2,3, Mads Gram Henriksen4,5
1Center for Subjectivity Research, University of Copenhagen, Karen Blixens Plads 8, 2300, Copenhagen, Denmark.
Medicine, health care, and philosophy
|March 7, 2025
概括
医疗保健中的认识不公正需要进行批判性的重新评估. 本文确定了阻碍实证研究和准确应用框架的科学,概念和理论问题.
科学领域:
- 医学伦理 医学伦理
- 医学哲学 医学哲学
- 社会认识论社会认识论
背景情况:
- 医疗保健中的认识不公正领域已经显著增长.
- 米兰达·弗里克的哲学框架越来越多地应用于医学上下文.
- 这个应用程序中的几个关键问题被忽视了.
研究的目的:
- 重新评估和阐述在医疗保健中的认识不公正领域的基本问题.
- 解决科学,概念和理论方面的挑战.
- 改进医学中认识论不公正的概念化和经验研究.
主要方法:
- 对现有的关于医疗保健中的认识不公正的文献进行批判性分析.
- 识别和分类科学,概念和理论问题.
- 对案例研究与米兰达·弗里克的框架进行检查.
主要成果:
- 缺乏经验证据和依赖事案例限制了概括性,并引入了偏见.
- 许多说法被呈现为事实,但仍然是未经验证的假设;医学中证词不公正的标准是缺失的.
- 许多讨论的案件不符合弗里克的证词不公正的标准 (无意的,基于身份偏见).
结论:
- 该领域需要在进步之前解决基本的科学,概念和理论问题.
- 发展对医疗保健中的认识不公正的经验性措施至关重要.
- 为了准确地识别和研究医疗环境中的认识不公正,需要完善概念化.
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