EBM:理性主义狂热的梦想

IF 2.2 Q3 ENGINEERING, INDUSTRIAL Journal of Cognitive Engineering and Decision Making Pub Date : 2018-08-16 DOI:10.1177/1555343418779677
D. E. Klein, David D. Woods, Gary Klein, S. Perry
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引用次数: 3

摘要

2016年,我们研究了自然主义决策与最佳实践合规趋势之间的联系;我们以循证医学(EBM)在医疗保健中的应用为例。Paul Falzer在本期的主要论文描述了循证医学如何以及为什么在医疗保健中流行的历史基础。Falzer还强调了EBM的认识论原理。Falzer的文章和我们自己的文章一样,质疑EBM的基本原理,并反思了在试图规范实践和强调合规性的情况下,自然主义决策可以支持专业知识的方式。我们在本评注中的目的首先是解释程序性方法的固有局限性,其次是研究如何帮助决策者变得更具适应性。
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EBM: Rationalist Fever Dreams
In 2016, we examined the connection between naturalistic decision making and the trend toward best practice compliance; we used evidence-based medicine (EBM) in health care as an exemplar. Paul Falzer’s lead paper in this issue describes the historical underpinnings of how and why EBM came into vogue in health care. Falzer also highlights the epistemological rationale for EBM. Falzer’s article, like our own, questions the rationale of EBM and reflects on ways that naturalistic decision making can support expertise in the face of attempts to standardize practice and emphasize compliance. Our objectives in this commentary are first to explain the inherent limits of procedural approaches and second to examine ways to help decision makers become more adaptive.
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来源期刊
CiteScore
4.60
自引率
10.00%
发文量
21
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