EBMの科学哲学的考察
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概要
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EBM (Evidence-based Medicine) has been prevailed in the medical world since the last decade of the 20th century. It was originally called Clinical Epidemiology. The advocates of EBM declared that it brought about a paradigm shift into clinical medicine. As compared to biomedicine, which gives pathophysiological explanations of clinical phenomena, the methodology of EBM is phenomenological and probabilistic, while that of biomedicine is ontological and deterministic. However, these two are inseparable sides of scientific medicine. EBM has several advantages. Because it is a kind of inductive inference, the results obtained by using EBM can be shown as clear evidence to everyone. In policy making EBM contributes to establishing the standards of healthcare. Through EBM we can see that all the laws of medicine are only probabilistic and medical judgments are always falliable. Science is neutral in regard to the system of human values. Therefore, EBM is a new tool which we can employ to develop our good values.
- 日本医学哲学・倫理学会の論文
- 2002-11-10