From empirical medicine – to analytical medicine

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The article examines the crisis in medical science and practice caused by the contradiction between the volume of accumulated knowledge and the methodology for its development, and proposes a methodological approach to the further development of the general theory of medicine. The concepts of the object, subject and method of medicine are clarified, a definition of health is given as the body’s ability to function indefinitely. Two forms of ill health are identified – disease and functional failure, while the term «disease» is interpreted as a set of processes leading to a loss of balance in the body and disruption of its recovery. Along with this, an analytical method for diagnosing a disease is described, a classification of diseases from the standpoint of analytical medicine is proposed, and urgent tasks of medical semiotics are outlined.

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Sobre autores

Natalya Volkova

Rostov State Medical University of the Ministry of Healthcare of Russia

Autor responsável pela correspondência
Email: n_i_volkova@mail.ru
ORCID ID: 0000-0003-4874-7835

MD, professor, head of the Department of internal medicine No. 3, Rostov State Medical University of the Ministry of Healthcare of Russia

Rússia, Rostov-on-Don

Andrey Volkov

Rostov State Medical University of the Ministry of Healthcare of Russia

Email: 66556687@mail.ru
ORCID ID: 0000-0002-8985-1770

executive director of Medical Consilium LLC

Rússia, Rostov-on-Don

Bibliografia

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  2. Committee on Diagnostic Error in Health Care; Board on Health Care Services; Institute of Medicine; The National Academies of Sciences, Engineering, and Medicine; Balogh E.P., Miller B.T., Ball J.R., editors. Improving diagnosis in health care. Washington (DC): National Academies Press (US); 2015 Dec 29. URL: https://www.ncbi.nlm.nih.gov/books/NBK338596/ (date of access – 01.12.2023). https://dx.doi.org/10.17226/21794.
  3. Institute of Medicine (US) Committee on Quality of Health Care in America. To err is human: Building a safer health system. Kohn L.T., Corrigan J.M., Donaldson M.S., editors. Washington (DC): National Academies Press (US); 2000. https://dx.doi.org/10.17226/9728.
  4. Волкова Н.И., Волков А.В. К вопросу о понятии «болезнь». Профилактическая медицина. 2022; 25(2): 81–85. [Volkova N.I., Volkov A.V. To the question of the concept of «disease». Profilakticheskaya meditsina = The Russian Journal of Preventive Medicine. 2022; 25(2): 81–85 (In Russ.)]. https://dx.doi.org/10.17116/profmed20222502181. EDN: NTGADA.
  5. Большая медицинская энциклопедия. 3-е изд. Том 7. Под ред. Петровского Б.В. М.: издательство «Советская энциклопедия». 1977; с. 241–256. [Big medical encyclopedia. 3rd ed. Vol. 7. Ed. by Petrovsky B.V. Moscow: Soviet Encyclopedia publishing house. 1977: pp. 241–256 (In Russ.)].
  6. Большая медицинская энциклопедия. 3-е изд. Том 8. Под ред. Петровского Б.В. М.: издательство «Советская Энциклопедия». 1978; с. 1047–1051. [Big medical encyclopedia. 3rd ed. Vol. 8. Ed. by Petrovsky B.V. Moscow: Soviet Encyclopedia publishing house. 1978: pp. 1047–1051 (In Russ.)].

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