<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1405-0099</journal-id>
<journal-title><![CDATA[Cirujano general]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. gen]]></abbrev-journal-title>
<issn>1405-0099</issn>
<publisher>
<publisher-name><![CDATA[Asociación Mexicana de Cirugía General A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1405-00992019000200127</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[El fin de la medicina. Los problemas de la construcción social]]></article-title>
<article-title xml:lang="en"><![CDATA[The end of medicine. The problems of social construction]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Campos]]></surname>
<given-names><![CDATA[Alberto]]></given-names>
</name>
</contrib>
</contrib-group>
<aff id="A">
<institution><![CDATA[,  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>41</volume>
<numero>2</numero>
<fpage>127</fpage>
<lpage>131</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992019000200127&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992019000200127&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992019000200127&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Este artículo aborda las diferencias entre contexto social y construcción social y la influencia de cada una en lo que se considera conocimiento, en los fines y la práctica de la medicina. Se describen los procesos de validación por los que el conocimiento médico se considera aceptado, cómo combinaciones anómalas entre contexto y construcción social producen justificaciones que influyen en lo que médicos y pacientes esperan y cómo, al cambiar los fundamentos, cambian los fines y las prácticas. Finalmente, se discute un pluralismo moral laxo en el que el médico relega sus funciones al paciente, quien queda desatendido y a merced de sus creencias.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: This article addresses the differences between social context and social construction and the influence of each on what is considered knowledge, the purposes and the practice of medicine. It describes the validation processes by which medical knowledge is considered accepted, how anomalous combinations between context and social construction produce justifications that influence what doctors and patients expect and how, by changing the foundations, ends and practices change. Finally, the consequences of a lax moral pluralism are discussed, in which the doctor relegates his functions to the patient, who is then left unattended and at the mercy of her beliefs.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Construcción social]]></kwd>
<kwd lng="es"><![CDATA[contexto social]]></kwd>
<kwd lng="es"><![CDATA[medicina social]]></kwd>
<kwd lng="es"><![CDATA[conocimiento médico]]></kwd>
<kwd lng="es"><![CDATA[relación médico-paciente]]></kwd>
<kwd lng="es"><![CDATA[contaminantes epistémicos]]></kwd>
<kwd lng="en"><![CDATA[Social construction]]></kwd>
<kwd lng="en"><![CDATA[social context]]></kwd>
<kwd lng="en"><![CDATA[social medicine]]></kwd>
<kwd lng="en"><![CDATA[medical knowledge]]></kwd>
<kwd lng="en"><![CDATA[physician-patient relations]]></kwd>
<kwd lng="en"><![CDATA[epistemic contaminants]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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