Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot106710.32687/0869-866X-2022-30-s1-1091-1096Научная статьяTHE HISTORY OF THE TRANSFORMATION OF THE CONCEPT OF HEALTHOrlovaN. V.vrach315@yandex.ruKovtiukhG. S.-KamyninaN. N.-BonkaloT. I.-N. I. Pirogov Russian National Research Medical University of the Ministry of Health of the Russian FederationResearch Institute for Systems Biology and MedicineResearch Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department1511202230s11091109617112022Copyright © 2022,2022The article gives an idea of health and diseases in various historical epochs. Depending on the historical period, there is a different amount of information about medicine, including diseases and the concept of «Health». This is due to the amount of archaeological and documentary evidence. For a long time, ideas about health have been closely linked with religion. Hippocrates and other scientists of the ancient world at the heart of health determined the state of equilibrium of the four main fluids. With the development of anatomy, physiology and medicine, the development of diseases was considered as damage to anatomical structures and disruption of their functions. In the XIV-XV centuries, a direction appeared that considers the influence of social and social factors on human health. In the XIX century, the ideas of health and disease are further developed based on physiological and anatomical studies. The German Anatomical School compared the concepts of human health and pathology, linked the development of diseases with changes in cells. During the 20th century, on the one hand, medicine became more and more molecular and submicroscopic; on the other hand, global attention to people, both healthy and sick, resumed, which gave rise to synergetic, multifaceted definitions of health. The World Health Organization in 1946 formulated the definition of health as «a state of complete physical, mental and social well-being, and not just the absence of diseases or physical defects.» In the future, this concept was repeatedly criticized, as it considered health as an ideal and brought it closer to the concept of happiness. Today it is obvious that the concept of health is a multifactorial concept and, in addition to the medical component, is closely related to other areas of human life: sociology, ecology, cultural studies, economics, etc.history of medicineconcept of healthkey factorsистория медициныконцепция здоровьяключевые факторы[Peatfield A., Morris C. Health and healing on Cretan Bronze Age peak sanctuaries // Michaelides D. (eds.). Medicine and Healing in the Ancient Mediterranean World. Barnsley; 2014. DOI: 10.2307/j.ctvh1djxz.12][Harrison M. A global perspective: reframing the history of health, medicine, and disease // Bull. Hist. Med. 2015. Vol. 89, N 4. P. 639-689. DOI: 10.1353/bhm.2015.0116][Wallis P. Rotberg R. I. (eds.), Health and disease in human history: a journal of interdisciplinary history reader, Cambridge, MA, and London, MIT Press, 2000, pp. viii, 345, £41.50 (hardback 0-262-18207-6), £16.95 (paperback 0-262-68122-6) // Medical History. 2002. Vol. 46, N 3. P. 433-434. DOI: 10.1017/S0025727300069477][Stiefel M., Shaner A., Schaefer S. D. The Edwin Smith Papyrus: the birth of analytical thinking in medicine and otolaryngology // Laryngoscope. 2006. Vol. 116, N 2. P. 182-188. DOI: 10.1097/01.mlg.0000191461.08542.a3][Conti A. A., Gensini G. F. Doctor-patient communication: a historical overview // Minerva Med. 2008. Vol. 99, N 4. P. 411-415.][Шклярук В. Я. Историко-философские представления о здоровье и продолжительности жизни человека // Философия и общество. 2007. № 4. C. 155-165.][Тиелеман T. Гален о медицине как науке и искусстве // История медицины. 2015. Т. 2, № 2. С. 172-182. DOI: 10.17720/2409-5834.v2.2.2015.11t (In Russ.)][Engel R. M. Paracelsus (1493-1541), (Theophrastus Bombastus von Hohenheim) // Invest. Urol. 1972. Vol. 9, N 4. P. 360-361.][Conti A. A. Historical evolution of the concept of health in Western medicine // Acta Biomed. 2018. Vol. 89, N 3. P. 352-354. DOI: 10.23750/abm.v89i3.6739][Risse G. B. The Brownian system of medicine: its theoretical and practical implications // Clio Medica. 1970. Vol. 5, N 5. P. 45-51.][Risse G. B. Porter R. The greatest benefit to mankind: a medical history of humanity from antiquity to the present, 1997. (review) // Medical History. 2012. Vol. 43, N 3. P. 396-397. DOI: 10.1017/S0025727300065443][Conti A. A. From informed consent to informed dissent in health care: historical evolution in the twentieth century // Acta Biomed. 2017. Vol. 88, N 2. P. 201-203. DOI: 10.23750/abm.v88i2.5441][Conti A. A., Conti A. Physicians, patients, and society: a long and complex history // Fam. Med. 2010. Vol. 42, N 3. P. 159-160.][Ayres J. R.C.M. A Hermeneutical conception of health // Phyisis: Revista de Saúde Coletiva. 2007. Vol. 17. P. 43-62.][Jadad A. R., O'Grady L. How should health be defined? // BMJ. 2008. Vol. 337. P. a2900. DOI: 10.1136/bmj.a2900][Huber M., Knottnerus J. A., Green L. et al. How should we define health? // BMJ. 2011. Vol. 343. P. d4163. DOI: 10.1136/bmj.d4163]