拉卡托斯科学研究纲领理论视域下的循证医学

Evidence-based Medicine Viewed from the Theory of Lakatos' Scientific Research Programs

诞生于1992年的循证医学被评为160年来最伟大的医学成就之一。从临床决策迅速到卫生决策、从自然科学领域到社会科学领域,循证医学迅速拓展的同时也面临来自哲学与实践的批评。循证医学通过两次理论演进构建与完善自身理论基础。运用拉卡托斯的科学研究纲领理论解读循证医学理论建构的过程,可以发现其内在的结构和哲学基础,为循证医学未来发展指明方向。

Born in 1992, Evidence--based medicine is regarded as one of the greatest achievements during the past 160 years. Rapidly expanding from clinical decision to healthy policy and from natural science to social science, Evidence- based medicine has been also facing the philosophical and practical criticism. Evidence-based medicine practiced the two theoretical developments to construct and improve its own theoretical basis. It contributes to make clear the model of theoretical development regarding evidence-based medicine to identify what was changed or unchanged and why there were some changes. Applying the theory called Lakatos＇ scientific research program to analyze the theoretical construction of evidence-based medicine, its internal structure and philosophical basement is led up to and its future directions is clearly shown.