Intended for healthcare professionals


Biomedical models and healthcare systems

BMJ 2005; 330 doi: (Published 17 February 2005) Cite this as: BMJ 2005;330:419

Tangible pathology has great validity

  1. Peter Davies, general practitioner (
  1. Shelf Surgery, Halifax HX3 7PQ

    EDITOR—Like Wade and Halligan,1 I think that current medical thinking about illness has serious limitations, which leads to problems for doctors and patients and helps administrators with diagnosis and certification.2 3 The traditional medical model is based on a direct link between lesion and symptom. Medical teaching rightly emphasises the processes linking symptoms with lesions.

    Four groups of patients …

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