BackgroundEvidence‐based practice is the principle governing a range of healthcare practices and beyond. However, it has suffered from a lack of philosophical rigour. This paper sets out to analyse the epistemological basis of evidence‐based practice.MethodThe paper uses a conceptual analysis. First, it describes the implicit epistemology at work in evidence‐based practice. Second, it evaluates the implicit epistemological basis.ResultsThe analysis indicates that evidence‐based practice lacks an explicit epistemological basis. It shows, moreover, that the implicit epistemological basis is untenable.ConclusionThere is a need to re‐think the epistemological basis for evidence‐based practice. Evidence‐based practice is out of touch with developments within philosophy of science.

中文翻译：

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基于证据的实践合理吗？——哲学批判


背景循证实践是管理一系列医疗保健实践及其他实践的原则。然而，它缺乏哲学严谨性。本文着手分析循证实践的认识论基础。方法本文采用概念分析。首先，它描述了循证实践中隐含的认识论。其次，它评估了隐含的认识论基础。结果分析表明，循证实践缺乏明确的认识论基础。此外，它表明隐含的认识论基础是站不住脚的。结论有必要重新思考循证实践的认识论基础。基于证据的实践与科学哲学的发展脱节。