Health in medicine: The lost graalстатьяИсследовательская статья
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Дата последнего поиска статьи во внешних источниках: 10 августа 2018 г.
Аннотация:Health is the most problematic definition in healthcare services and phenotype in life sciences which has been criticized by some scientists as an unachievable goal. These scientists suggest to downgrade the WHO definition by reformulating it into a more disease-centric, event-reactive, or disability-coping one. The current review presents evidence why it is biologically and economically counterproductive to continue disease-centric studies of the most common disorders (e.g., psychiatric and metabolic) for further advancing treatment and outcomes. To continue being beneficial, medicine needs a real game-changer that maps genome and phenome relationships more readily onto individual health and brings a real health-related event-predictive sense to the current disease-centric, event-reactive, and disability-orienting healthcare industry. Such a game-changer may be the evidence that multiple diseases risks are preserved by a few number of resiliency mechanisms or factors (i.e., mechanisms for successful coping with stress and adversity without the development of disorders) that are cheaper and easier to assess, predict, monitor, and manipulate to control health. For example, physiological capacity to withstand an orthostatic challenge (gravity- or g-resiliency) is proposed as a metric of the health. This approach may be a way to the rehabilitation of the original WHO definition of health claimed in clinical practice.