Health models in biomedical knowledgebase evolution

Фотографии: 

ˑ: 

PhD, Associate Professor E.L. Panova1
PhD, Associate Professor P.A. Shamin1
1I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)

The study analyzes accomplishments of the national and global science in the medical theory and philosophy to identify the basic health models with evolution of biomedical knowledgebase. The study data demonstrates the key heuristic value of a human image shaping conception applied to analyze a variety of design approaches to the health models. Subject to analysis were the base conceptions of the human nature invariables; human interactions with the natural and manmade environments; and effects on the human body systems. Based on the study data and analyses, we offered the following three health models in the biomedical knowledgebase evolution: bio-centric, socio-centric and techno-centric ones. The bio-centric health model popular in medicine since the late XIX century considers a human being only as the biological organism having the only objective to survive by adapting to the natural environment. The socio-centric health model that was particularly popular in the Soviet health service philosophy is largely based on a human being interpreted as the creature evolving in the natural and social environments. The techno-centric health model has emerged lately with progress of the modern biomedical technologies to interpret man as a living being capable of restructuring own body into a kind of technical system to develop a variety of basically new psychophysical qualities and abilities. This health model has been accepted as a basis for the global trans-humanistic movement on the whole and its national Russia-2045 Project in particular.

Keywords: health, disease, human image, biomedicine, nature, model.

References
1. Ado A.D. Voprosy obschey nozologii [Questions of general nosology]. Moscow: Meditsina publ., 1985, 239 p.
2. Botkin S.P. Obschie osnovy klinicheskoy meditsiny [General principles of clinical medicine]. St. Petersburg: M.M. Stasyulevich publ., 1887, 20 p.
3. Gnatik E.N., Liseev I.K. Problemy tsennosti zhizni i zdorovya cheloveka v svete perspektiv geneticheskoy inzhenerii [Problems of value of human life and health in light of prospects of genetic engineering]. Filosofiya nauki. no. 13: Zdorovye kak problema estestvennykh i biomeditsinskikh nauk [Health as problem of natural and biomedical sciences]. Moscow, 2008, pp. 144-169.
4. Davydovskiy I.V. Obschaya patologiya cheloveka [General human pathology]. Moscow: Meditsina publ., 1969, 612 p.
5. Zhirnov V.D. Zdorovye – atribut antropnosti [Health as attribute of anthropism]. Filosofiya zdorovya. Moscow, 2001, pp. 130-148.
6. Sarkisov D.S., Paltsev M.A., Khitrov N.K. Obschaya patologiya cheloveka [General human pathology]. Moscow: Meditsina publ., 1997, 608 p.
7. Selye G. Stress bez distressa [Stress without distress]. Moscow: Progress publ., 1982, 68 p.
8. Strategicheskoe obschestvennoe dvizhenie «Rossiya-2045» [Strategic social movement 'Russia-2045']. Available at: http://www.2045.ru/ (Date of access 05.01.2017)
9. Fukuyama F. Nashe postchelovecheskoe buduschee. Posledstviya biotekhnologicheskoy revolyutsii [Our posthuman future. Consequences of biotechnological revolution]. Transl from Engl. M.B. Levin. Мoscow, 2004, 349 p.
10. Cannon W.B. The Wisdom of the Body. New York. Norton. 1963, 333 p.