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Evidencia científica en medicina: ¿única alternativa?
Scientific evidence in medicine: the only alternative?
Juan José Sarrado, Xavier Clèries
Autor para correspondencia
xcleries@ies.scs.es

Correspondencia: IES. Balmes, 132-136. 08008 Barcelona. España.
, Marta Ferrer, Eduardo Kronfly
Institut d’Estudis de la Salut. Barcelona. España
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        "resumen" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">El presente art&#237;culo pretende reflexionar acerca del momento actual de las ciencias m&#233;dicas&#44; incorporando una discusi&#243;n cr&#237;tica respecto de la atomizaci&#243;n del conocimiento que el pragmatismo de la evidencia cient&#237;fica puede comportar&#46; Propone integrar las aportaciones de las metodolog&#237;as cuantitativa y cualitativa de las ciencias de la salud&#44; recurriendo a dise&#241;os cualicuantitativos que aborden la complejidad del ser humano y de sus referentes axiol&#243;gicos y socioculturales&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Los autores defienden y argumentan la necesidad de que la investigaci&#243;n en salud contemple 5 dimensiones &#250;tiles para la toma de decisiones&#44; abordando el objeto de estudio sin prescindir del sujeto y de sus circunstancias poli&#233;dricas y complejas&#46; La medicina ha de considerar ineludiblemente el conocimiento tecnol&#243;gico y t&#233;cnico&#44; pero dicha capacitaci&#243;n no debe eludir las necesarias competencias relacionales y comunicacionales&#46; La actualizaci&#243;n cientificom&#233;dica implica un constante maridaje entre rigor t&#233;cnico y mejora de v&#237;nculos entre las personas implicadas &#40;profesionales de la salud y ciudadan&#237;a&#41;&#44; con una actitud cuidadosa y afable&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">La animaci&#243;n comunitaria y el establecimiento paulatino de complicidades se erigen en la base de un modelo sanitario integrador&#44; de raigambre biopsicosocial&#44; tanto te&#243;rico como pr&#225;ctico&#46;</p>"
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        "resumen" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The present article aims to reflect on the current situation of medical sciences by incorporating a critical discussion of knowledge atomization&#44; which can be a consequence of the pragmatism of scientific evidence&#46; The article proposes to integrate the contributions of quantitative and qualitative methodologies in health sciences&#44; paying attention to qualitative and quantitative designs that take into account the complexity of human beings and their axiological&#44; social&#44; and cultural referents&#46;</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The authors defend and argue for the need for health research to contemplate five useful dimensions for decision-making&#44; approaching the object of the study and without eliminating the subject and his&#47;her polyhedral and complex circumstances&#46; Medicine must unavoidably consider technological and technical knowledge&#44; but this training must not elude the necessary relational and communicative competences&#46; Scientific and medical updating implies a constant close association between technical rigor and improved links among the individuals involved &#40;health professionals and the public&#41;&#44; with a careful and respectful attitude&#46;</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Community activity and the gradual establishment of complicities are put forward as the basis for an integrative health model&#44; with biopsychosocial roots&#44; both at a theoretical and a practical level&#46;</p>"
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ISSN: 02139111
Idioma original: Español
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