Do health professionals have a prototype concept of disease? The answer is no

Abstract Background Health and disease are core concepts in health care and have attracted substantial interest and controversy. In recent and interesting contributions to the debate it has been argued that the challenges with the concept of disease can be resolved by a prototype concept of disease....

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Main Author: Bjørn Hofmann
Format: Article
Language:English
Published: BMC 2017-09-01
Series:Philosophy, Ethics, and Humanities in Medicine
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13010-017-0047-7
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author Bjørn Hofmann
author_facet Bjørn Hofmann
author_sort Bjørn Hofmann
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description Abstract Background Health and disease are core concepts in health care and have attracted substantial interest and controversy. In recent and interesting contributions to the debate it has been argued that the challenges with the concept of disease can be resolved by a prototype concept of disease. As a robin is a more prototypical of a bird than a penguin, some diseases are more prototypical than others. If disease is a prototype concept, it would change nosology, but also health care and the study of health and disease. However, the statement that “disease is a prototype concept” forms an empirically testable hypothesis. Therefore, this study aims to test the hypothesis that health professionals have a prototype concept of disease. Methods Two hundred twenty-three health care professionals in Norway were invited to participate in a survey where they were asked to rank a wide range of diseases according to how typical they considered them to be as diseases. Results were analysed with descriptive statistics. Results The response rate was 90%. Lung cancer, leukemia, colon cancer, myocardial infarction, and AIDS are the diseases ranged to be most typical, while homosexuality, pregnancy, drapetomania, dissidence, and nostalgia are considered to be the least typical diseases. The results also show that the answers to how typical various diseases are vary greatly, even amongst a relatively homogenous group of health professionals. Conclusion This study falsifies the hypothesis that disease is a prototype concept for health professionals. This has implications for the debate on core concepts for health care. If health professionals do not have a prototype concept of disease, it is unlikely that there is a prototype concept of disease in general. Consequently, nosologies should not be based on prototypes.
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spelling doaj.art-6ccd07a9d4104d2984a9c2a4a664cf972022-12-22T00:42:15ZengBMCPhilosophy, Ethics, and Humanities in Medicine1747-53412017-09-011211710.1186/s13010-017-0047-7Do health professionals have a prototype concept of disease? The answer is noBjørn Hofmann0Institute for the Health Sciences, The Norwegian University Science and TechnologyAbstract Background Health and disease are core concepts in health care and have attracted substantial interest and controversy. In recent and interesting contributions to the debate it has been argued that the challenges with the concept of disease can be resolved by a prototype concept of disease. As a robin is a more prototypical of a bird than a penguin, some diseases are more prototypical than others. If disease is a prototype concept, it would change nosology, but also health care and the study of health and disease. However, the statement that “disease is a prototype concept” forms an empirically testable hypothesis. Therefore, this study aims to test the hypothesis that health professionals have a prototype concept of disease. Methods Two hundred twenty-three health care professionals in Norway were invited to participate in a survey where they were asked to rank a wide range of diseases according to how typical they considered them to be as diseases. Results were analysed with descriptive statistics. Results The response rate was 90%. Lung cancer, leukemia, colon cancer, myocardial infarction, and AIDS are the diseases ranged to be most typical, while homosexuality, pregnancy, drapetomania, dissidence, and nostalgia are considered to be the least typical diseases. The results also show that the answers to how typical various diseases are vary greatly, even amongst a relatively homogenous group of health professionals. Conclusion This study falsifies the hypothesis that disease is a prototype concept for health professionals. This has implications for the debate on core concepts for health care. If health professionals do not have a prototype concept of disease, it is unlikely that there is a prototype concept of disease in general. Consequently, nosologies should not be based on prototypes.http://link.springer.com/article/10.1186/s13010-017-0047-7DiseaseConceptPrototypeFalsificationLanguage
spellingShingle Bjørn Hofmann
Do health professionals have a prototype concept of disease? The answer is no
Philosophy, Ethics, and Humanities in Medicine
Disease
Concept
Prototype
Falsification
Language
title Do health professionals have a prototype concept of disease? The answer is no
title_full Do health professionals have a prototype concept of disease? The answer is no
title_fullStr Do health professionals have a prototype concept of disease? The answer is no
title_full_unstemmed Do health professionals have a prototype concept of disease? The answer is no
title_short Do health professionals have a prototype concept of disease? The answer is no
title_sort do health professionals have a prototype concept of disease the answer is no
topic Disease
Concept
Prototype
Falsification
Language
url http://link.springer.com/article/10.1186/s13010-017-0047-7
work_keys_str_mv AT bjørnhofmann dohealthprofessionalshaveaprototypeconceptofdiseasetheanswerisno