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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="1.1d1" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher">Problems of Social Hygiene, Public Health and History of Medicine</journal-id><journal-title-group><journal-title>Problems of Social Hygiene, Public Health and History of Medicine</journal-title></journal-title-group><issn publication-format="print">0869-866X</issn><issn publication-format="electronic">2412-2106</issn><publisher><publisher-name>Joint-Stock Company Chicot</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">543</article-id><article-id pub-id-type="doi">10.32687/0869-866X-2021-29-2-369-372</article-id><article-categories><subj-group subj-group-type="heading"><subject>Научная статья</subject></subj-group></article-categories><title-group><article-title>The 200 years of history of national clinic of internal diseases: the issues of periodization (the fifth and sixth stages)</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="western"><surname>Borodulin</surname><given-names>V. I.</given-names></name><bio></bio><email>borodul1nvladim@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Banzelyuk</surname><given-names>E. N.</given-names></name><bio></bio><email>-</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Topolyanskiy</surname><given-names>A. V.</given-names></name><bio></bio><email>-</email><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff id="aff-1">N. A. Semashko National Research Institute of Public Health</aff><aff id="aff-2">M. V. Lomonosov Moscow State University, Faculty of Medicine</aff><aff id="aff-3">S. I. Spasokukotsky Municipal Clinical Hospital</aff><pub-date date-type="epub" iso-8601-date="2021-12-15" publication-format="electronic"><day>15</day><month>12</month><year>2021</year></pub-date><volume>29</volume><issue>2</issue><fpage>369</fpage><lpage>372</lpage><history><pub-date date-type="received" iso-8601-date="2021-06-01"><day>01</day><month>06</month><year>2021</year></pub-date></history><permissions><copyright-statement>Copyright © 2021,</copyright-statement><copyright-year>2021</copyright-year></permissions><abstract>This article completes series of three publications analyzing periodization of the history of the clinical internal medicine in Russia over the past 200 years. The discussion covers the fifth period (the second half of the 1950s - the mid-1970s), when the “landscape of diseases” changed, the differentiation of internal medicine into “narrow” specializations continued and the alterations of the state policy of the USSR in the field of health care was completed. During the sixth period (the second half of the 1970s and 1980s), the successful development of medicine in the USSR slowed down, the economic foundation of health care “failed” and indices of population health deteriorated. Ahead awaited the political and economic upheavals of the 1990s and total redesign of the internal medicine in organizational, economic and substantial aspects.</abstract><kwd-group xml:lang="en"><kwd>history of medicine</kwd><kwd>clinical medicine</kwd><kwd>internal diseases</kwd><kwd>periods of development</kwd><kwd>the Soviet medicine</kwd><kwd>the USSR</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>история медицины</kwd><kwd>клиническая медицина</kwd><kwd>внутренние болезни</kwd><kwd>периоды развития</kwd><kwd>советская медицина</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Давыдова Т. В. Реформирование советского здравоохранения в послевоенные годы: исторический анализ. 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