The 200 years of history of national clinic of internal diseases: the issues of periodization (the fifth and sixth stages)

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.