Epistemología de la vida salvada en medicina: del rescate biológico al paradigma de la supervivencia integral sostenible
Year: 2026
Type: preprint
Abstract: Introduction: The term saved life is widely used as an indicator of success in medicine, but it presents a marked epistemological fragmentation and lacks a unified concept, splintering according to medical, economic, or social disciplines. Objective: To break down the constitutive dimensions of this construct to propose a unified, transdisciplinary model. Materials and methods: A qualitative, descriptive, and conceptual theory research was conducted with an epistemological approach, based on critical content analysis and transdisciplinary hermeneutics. Results: Five dimensions were critically analyzed: phenomenological-clinical, metric-functional, ecosystemic, economic, and relational. Based on this analysis, the paradigm of Sustainable Integral Survival (SIS) is postulated. This model defines a "saved life" as a continuous process structured into five interdependent stages: biological rescue in emergency care, functional restoration, environmental sustainability, ethical economic optimization, and social-community reintegration. Distributive bioethical tensions and the utilitarian bias of traditional international metrics within the global health system context are discussed. Conclusions: A saved life should not be considered a static, in-hospital event. Real medical-sanitary success requires that the initial biological rescue be linked with equity, quality of life, and protection against catastrophic health expenditures.
DOI: 10.62059/a87h2d26
Language: English
Subfield: History and Philosophy of Science
Field: Arts and Humanities
Domain: Social Sciences
Open Access status: green
OpenAlex ID: W7204158531