Erskine Kathleen E, Griffith Eleanor, Degroat Nicole, Stolerman Marina, Silverstein Louise B, Hidayatallah Nadia, Wasserman David, Paljevic Esma, Cohen Lilian, Walsh Christine A, McDonald Thomas, Marion Robert W, Dolan Siobhan M
Department of Obstetrics & Gynecology & Women's Health, Division of Reproductive Genetics, Albert Einstein College of Medicine/Montefiore Medical Center, 1695 Eastchester Road, Suite 301, Bronx, NY, USA.
University OBGYN Associates, Ambulatory Care Center, C1673, UMDNJ, 140 Bergen Street, Newark, NJ 07103, USA.
Per Med. 2013 Jan 1;10(1):73-80. doi: 10.2217/pme.12.108.
In the genomic age, the challenges presented by various inherited conditions present a compelling argument for an interdisciplinary model of care. Cardiac arrhythmias with a genetic basis, such as long QT syndrome, require clinicians with expertise in many specialties to address the complex genetic, psychological, ethical and medical issues involved in treatment. The Montefiore-Einstein Center for CardioGenetics has been established to provide personalized, interdisciplinary care for families with a history of sudden cardiac death or an acute cardiac event. Four vignettes of patient care are presented to illustrate the unique capacity of an interdisciplinary model to address genetic, psychological, ethical and medical issues. Because interdisciplinary clinics facilitate collaboration among multiple specialties, they allow for individualized, comprehensive care to be delivered to families who experience complex inherited medical conditions. As the genetic basis of many complex conditions is discovered, the advantages of an interdisciplinary approach for delivering personalized medicine will become more evident.
在基因组时代，各种遗传疾病带来的挑战有力地证明了跨学科护理模式的必要性。具有遗传基础的心律失常，如长QT综合征，需要许多专业领域的临床医生来处理治疗中涉及的复杂遗传、心理、伦理和医学问题。蒙特菲奥里-爱因斯坦心脏遗传学中心的设立是为了为有心脏性猝死或急性心脏事件病史的家庭提供个性化的跨学科护理。本文介绍了四个患者护理案例，以说明跨学科模式在解决遗传、心理、伦理和医学问题方面的独特能力。由于跨学科诊所促进了多个专业之间的合作，它们能够为患有复杂遗传性疾病的家庭提供个性化的综合护理。随着许多复杂疾病的遗传基础被发现，跨学科方法在提供个性化医疗方面的优势将变得更加明显。
