在当代基于证据的医学中重新思考证据:对临床实践的新兴形式进行批判性检查
1Department of Philosophy, Peking University, Beijing, China.
Journal of evaluation in clinical practice
|January 22, 2026
概括
基于证据的医学 (EBM) 景观正在随着新的数字工具和人工智能而发展. 这项研究提出了更灵活,多元的医疗证据框架,以应对现代临床复杂性.
科学领域:
- 科学哲学的哲学科学哲学
- 认识论的认识论学.
- 医疗信息学 医疗信息学
背景情况:
- 当代基于证据的医学 (EBM) 集成了数字技术,精准医学和人工智能.
- 像真实世界数据和人工智能模型这样的新方法补充了传统的随机对照试验.
- 在EBM中,这些新证据形式的认识地位和层次并不清楚.
研究的目的:
- 分析新出现的证据形式的推断结构和因果假设.
- 评估它们在临床决策,解释和责任方面的适用性.
- 在不断发展的医疗实践和技术的背景下检查证据.
主要方法:
- 科学证据的哲学分析.
- 对因果推理的认识论检查.
- 医学证据框架的概念分析.
主要成果:
- 新兴证据形式具有不同的推断和因果结构.
- 它们的应用需要仔细考虑上下文和假设.
- 当前的EBM层次结构可能无法充分适应这些新的方法.
结论:
- 医学中的证据概念需要超越单一的方法论范式.
- 现代医学决策需要一个多元化,以实践为导向的框架.
- 这一框架必须解决复杂性,不确定性和个体变化.
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