Heusser P, Neugebauer E, Berger B, Hahn E G
Zentrum für Integrative Medizin, Fakultät für Gesundheit, Universität Witten/Herdecke, Germany.
Gesundheitswesen. 2013 Mar;75(3):151-4. doi: 10.1055/s-0032-1321745. Epub 2012 Aug 28.
In medical and public debates, the concept "personalized" or "individualized" medicine (PM) is increasingly used for the orientation of medicine towards individual genetic, molecular and biological characteristics. However, this tunnel view neglects that the human "person" or "individual" encompasses more than just the molecular and biological side, and that patients increasingly call for a more holistic and more person-centred form of health care. Therefore the authors propose to extend the concept of PM in the framework of an integrative health-care concept, so that with respect to a modern and patient-centred health-care system not only the biological, but also the relevant psychological, mental, social, cultural, spiritual, and economic aspects of the human individual are accounted for in health care. The Faculty of Health of Witten/Herdecke University proposes the term "integrative and personalised health care" for such a holistic form of PM.
在医学和公共辩论中,“个性化”或“个体化”医学(PM)这一概念越来越多地被用于指导医学关注个体的基因、分子和生物学特征。然而,这种狭隘的观点忽略了人类“个体”或“个人”所包含的不仅仅是分子和生物学方面,而且患者越来越呼吁采用更全面、更以患者为中心的医疗保健形式。因此,作者建议在综合医疗保健概念的框架内扩展PM的概念,以便在现代以患者为中心的医疗保健系统中,不仅要考虑人类个体的生物学方面,还要考虑其相关的心理、精神、社会、文化、精神和经济方面。维滕/黑尔德克大学健康学院为这种全面形式的PM提出了“综合与个性化医疗保健”这一术语。