CAJ | 학술논문

循证医学概念发展经历了两个阶段,先后纳入了医患关系和决策背景.循证医学发展的一个新趋势是解决从理论到实践的决策问题.用后SSK实践模式解读循证医学概念演进模式发现,循证医学是一个融合了自然与社会、物质与文化多因素的不可分割的实践网络,网络中各个行动者通过"转译"相互连接.在循证实践中,各式各样自然物、社会关系、地域因素、传统文化资源、科学仪器等的介入,使科学理论成为这些因素在科学实践中不断相互博弈的结果.在这种博弈中,自然与社会、物质与人类、自然科学与社会科学之间的界线消失,从而进入一种人文医学的新阶段.
순증의학개념발전경력료량개계단,선후납입료의환관계화결책배경.순증의학발전적일개신추세시해결종이론도실천적결책문제.용후SSK실천모식해독순증의학개념연진모식발현,순증의학시일개융합료자연여사회、물질여문화다인소적불가분할적실천망락,망락중각개행동자통과"전역"상호련접.재순증실천중,각식각양자연물、사회관계、지역인소、전통문화자원、과학의기등적개입,사과학이론성위저사인소재과학실천중불단상호박혁적결과.재저충박혁중,자연여사회、물질여인류、자연과학여사회과학지간적계선소실,종이진입일충인문의학적신계단.
The notions of Evidence-based medicine developed through two phases, which successively looked into the doctor-patient relationship and decision-making background. One of the new trends in evidence-based medicine deals with how to make theory into practice. Applying the practical model from post-SSK to interpret how the notions of evidence-based medicine changed, it is found that evidence-based medicine is an indivisible practical network integrating many natural and social factors as well as material and cultural factors which interconnect through "translation". Therefore, the involvement of various factors such as natural matter, social relations, regional factors, resources of traditional culture and scientific instruments leads up to the ultimate theory becoming the result of multiple factors in a continuous process of seeking the best way in scientific practice. In this motile process, the borderline between nature and society, material and human, natural science and social science vanishes and a new stage called humanistic medicine appears.