Sick or sickness? The importance of person centred healthcare and medicine paradigm

다국어 초록 (Multilingual Abstract)

When you act for a good or just when you make a choice, you should ask yourself if the result of your action coincides with the principle that has generated it. Health and respect for our own individuality are two essential goods for the human being and also values that medicine itself should guard carefully remembering that its goal is to take care for a person and not only to cure a sick body. The means to achieve all this can only be a person-centered medicine which has the honor and the burden of considering the person (in the Kantian sense) and his health as an end, not a means. The current mainstream concept of health defined in 1948 by the World Health Organization as a state of complete mental, physical and social wellbeing and not merely the absence of disease and infirmity remind us that medical reasoning, based on the pathogenesis operator, is no longer sufficient in dealing with requests from the citizens: is now the right time to shift the focus from sickness to health giving emphasis to the salutogenic medicine approach.

참고문헌 (Reference)

1 Roberti di Sarsina P, "Widening the paradigm in medicine and health: The memorandum of understanding between the European association for predictive, preventive and personalised medicine EPMA and the Italian charity “Association for person centred medicine”" 1 (1): e107-, 2013

2 Kaur R, "What is health: a review" 1 : 1-17, 2013

3 Verma AA, "Understanding choice: why physicians should learn prospect theory" 311 : 571-572, 2014

4 Roberti di Sarsina P, "Traditional, complementary and alternative medical systems and their contribution to personalisation prediction and prevention in medicine - person centred medicine" 3 : 15-, 2012

5 Alivia M, "Towards salutogenesis in the development of a personalised and preventative healthcare" 2 : 381-384, 2011

6 Roberti di Sarsina P, "The contribution of traditional, complementary and alternative medical systems to the development of person centred medicine-the example of the charity association for person centred medicine" 1 : 13-, 2013

7 Habermas, Jurgen, "The Theory of Communicative Action. Vol.2" Beacon Press 1987

8 Habermas, Jurgen, "The Theory of Communicative Action. Vol.1" Beacon Press 1984

9 Roberti di Sarsina P, "The Social Demand for a Medicine Focused on the Person: The contribution of CAM to healthcare and healthgenesis" 4 : 45-51, 2007

10 Roberti di Sarsina P, "The Charity Association for Person Centred Medicine"

11 Dover, C., "Spurious syndromes: we create disease by giving illness a name" 348 : g1828-, 2014

12 Jones RK, "Schism and heresy in the development of orthodox medicine : The threat to medical hegemony" 58 : 703-712, 2004

13 Morandi A, "Salutogenesis and Ayurveda: indications for public health management" 2 : 459-465, 2011

14 Lindstrom B, "Salutogenesis" 59 : 440-442, 2005

15 Roberti di Sarsina P, "Person-centred medicine: towards a definition" 17 : 277-278, 2010

16 Roberti di Sarsina P, "Person centred medicine-beyond integrative medicine?"

17 Dowrick C., "Medicalising unhappiness: new classification of depression risks more patients being put on drug treatment from which they will not benefit" 347 : f7140-, 2013

18 Dworkin R., "Life's dominion: An argument about abortion, euthanasia, and individual freedom" Knopf Doubleday Publishing Group 273-, 1993

19 Alivia M., "Le peculiarita sociali delle medicine non convenzionali" FrancoAngeli 228-250, 2009

20 Giarelli G, "Le Medicine Non Convenzionali in Italia. Storie, problemi e prospettive di integrazione" FrancoAngeli 2007

21 Hochwalder J, "Is sense of coherence lowered by negative life events?" 12 : 475-492, 2011

22 Jaspers, K., "Il medico nell'eta della tecnica" Cortina Editore 1991

23 Roberti di Sarsina P, "Healthcare Overview: New Perspectives" sprineger 335-353, 2012

24 Antonovsky A., "Health, stress and coping" Jossey-Bass 1979

25 Aung Steven KH, "Healing and the spiritual impetus and quest" 19 : 63-67, 2007

26 Diener E, "Happy people live longer: subjective well-being contributes to health and longevity" 3 : 1-43, 2011

27 Gerber A, "Evidence-based Medicine : Why do opponents and proponents use the same arguments?" 13 : 59-71, 2005

28 Coulter,A, "Collecting data on patient experience is not enough: they must be used to improve care" 348 : g2225-, 2014

29 Lewith GT, "Clinical research in complementary therapies" Thurstone Livingston 2011

30 Jonas WB, "Building an evidence house: Challenges and solutions to research in CAM" 12 : 159-167, 2005

31 Basili A, "Allopathic Versus Homeopathic Strategies and the Recurrence of Prescriptions: Results from a Pharmacoeconomic Study in Italy" 2011 : 1-6, 2009

32 Morandi A, "Advent of a link between Ayurveda and modern health science: the proceedings of the first international congress on Ayurveda, “Ayurveda: the meaning of life - awareness, environment, and health” March 21-22, 2009, Milan, Italy" 2011 : 1-7, 2010

33 Anderson TS, "Academic medical center leadership on pharmaceutical company boards of directors" 311 : 1353-1355, 2014