Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2025;17(2):5-10.
doi: 10.17691/stm2025.17.2.01. Epub 2025 Apr 30.

From Extractive to Inclusive Health Preservation Model

Affiliations

From Extractive to Inclusive Health Preservation Model

N N Karyakin. Sovrem Tekhnologii Med. 2025.

Abstract

Nowadays, the healthcare systems of several countries have reached an efficiency threshold, therefore, even increased fundin will not significantly impact life expectancy, particularly in terms of healthy life expectancy. This situation underscores the necessity of complementing national healthcare systems, which focus on early diagnosis and treatment of diseases, with a multi-level primary prevention system that extends beyond the traditional boundaries of healthcare. In this regard, the inclusive model has been proposed, focused on health preservation, in contrast to the extractive model that emphasizes the exploitation of biological organism reserves. This inclusive model is represented as an "onion bulb" structure, where each layer consists of a set of interconnected measures within a multi-level policy aimed at strengthening and maintaining the population health.

Keywords: extractive model; functional dispensarization; health preservation; healthcare system; inclusive model; individual health development program.

PubMed Disclaimer

Conflict of interest statement

Conflict of interest. There are no conflicts of interest.

Figures

Figure 1.
Figure 1.. The healthcare priorities evolution stages
Figure 2.
Figure 2.. “Onion bulb” structure of the inclusive health preservation model
LE — life expectancy; HLE — healthy life expectancy; GDP — gross domestic product

Similar articles

  • Japan as the front-runner of super-aged societies: Perspectives from medicine and medical care in Japan.
    Arai H, Ouchi Y, Toba K, Endo T, Shimokado K, Tsubota K, Matsuo S, Mori H, Yumura W, Yokode M, Rakugi H, Ohshima S. Arai H, et al. Geriatr Gerontol Int. 2015 Jun;15(6):673-87. doi: 10.1111/ggi.12450. Epub 2015 Feb 5. Geriatr Gerontol Int. 2015. PMID: 25656311
  • 'Inclusive' health systems increase healthy life expectancy.
    Athanasakis K. Athanasakis K. Rural Remote Health. 2022 May;22(2):7014. doi: 10.22605/RRH7014. Epub 2022 May 4. Rural Remote Health. 2022. PMID: 35506156
  • Corruption and Population Health in the European Union Countries-An Institutionalist Perspective.
    Socoliuc Guriță OR, Sîrghi N, Jemna DV, David M. Socoliuc Guriță OR, et al. Int J Environ Res Public Health. 2022 Apr 22;19(9):5110. doi: 10.3390/ijerph19095110. Int J Environ Res Public Health. 2022. PMID: 35564505 Free PMC article.
  • The significance of quality of life in health care.
    Kaplan RM. Kaplan RM. Qual Life Res. 2003;12 Suppl 1:3-16. doi: 10.1023/a:1023547632545. Qual Life Res. 2003. PMID: 12803306 Review.
  • Tuberculosis.
    Bloom BR, Atun R, Cohen T, Dye C, Fraser H, Gomez GB, Knight G, Murray M, Nardell E, Rubin E, Salomon J, Vassall A, Volchenkov G, White R, Wilson D, Yadav P. Bloom BR, et al. In: Holmes KK, Bertozzi S, Bloom BR, Jha P, editors. Major Infectious Diseases. 3rd edition. Washington (DC): The International Bank for Reconstruction and Development / The World Bank; 2017 Nov 3. Chapter 11. In: Holmes KK, Bertozzi S, Bloom BR, Jha P, editors. Major Infectious Diseases. 3rd edition. Washington (DC): The International Bank for Reconstruction and Development / The World Bank; 2017 Nov 3. Chapter 11. PMID: 30212088 Free Books & Documents. Review.

References

    1. Ortiz-Ospina E., Roser M. Healthcare spending. Our World in Data 2017. URL: https://ourworldindata.org/financing-healthcare.
    1. Avakov A.V. Two thousand years of economic statistics: world population, GDP, and PPP. New York: Algora Publishing;. 2010; 390 p.
    1. Gross M. Rapid population rise bad for our health? Curr Biol 2012; 22(17):R702–R705, 10.1016/j.cub.2012.08.040. - DOI - PubMed
    1. Roser M., Ritchie H. “How has world population growth changed over time?” Our World in Data 2023. URL: https://ourworldindata.org/population-growth-over-time.
    1. Dattani S., Rodés-Guirao L., Ritchie H., Ortiz-Ospina E., Roser M. Life expectancy. Our World in Data 2023. URL: https://ourworldindata.org/life-expectancy.

MeSH terms

LinkOut - more resources