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预测医学、预防医学和个性化医学作为“地平线 2020”的核心:EPMA 立场文件。

Predictive, Preventive and Personalised Medicine as the hardcore of 'Horizon 2020': EPMA position paper.

机构信息

Department of Radiology, Rheinische Friedrich-Wilhelms-University of Bonn, 53105 Bonn, Germany.

出版信息

EPMA J. 2014 Apr 7;5(1):6. doi: 10.1186/1878-5085-5-6.

Abstract

The European Association for Predictive, Preventive and Personalised Medicine (EPMA) considers acute problems in medical sciences as well as the quality and management of medical services challenging health care systems in Europe and worldwide. This actuality has motivated the representatives of EPMA to comment on the efforts in promoting an integrative approach based on multidisciplinary expertise to advance health care-related research and management. The current paper provides a global overview of the problems related to medical services: pandemic scenario in the progression of common non-communicable diseases, delayed interventional approaches of reactive medicine, poor economy of health care systems, lack of specialised educational programmes, problematic ethical aspects of several treatments as well as inadequate communication among professional groups and policymakers. In the form of individual paragraphs, the article presents a consolidated position of PPPM professionals towards the new European programme 'Horizon 2020' providing the long-lasting instruments for scientific and technological progress in medical services and health care-related programmes. In the author's opinion, Horizon 2020 provides unlimited room for research and implementation in Predictive, Preventive and Personalised Medicine. However, the overall success of the programme strongly depends on the effective communication and consolidation of professionals relevant for PPPM as well as the communication quality with policymakers. Smart political decision is the prerequisite of the effective PPPM implementation in the health care sector. This position is focused on the patients' needs, innovative medical sciences, optimal health and disease management, expert recommendations for the relevant medical fields and optimal solutions which have a potential to advance health care services if the long-term strategies were to be effectively implemented as proposed here.

摘要

欧洲预测、预防和个体化医学协会(EPMA)认为,医学科学中的急性问题以及医疗服务的质量和管理对欧洲和全球的医疗保健系统构成挑战。这一现实促使 EPMA 的代表们对促进基于多学科专业知识的综合方法的努力发表评论,以推进与医疗保健相关的研究和管理。本文提供了一个关于医疗服务相关问题的全球概述:普通非传染性疾病进展中的大流行情况、反应性医学的干预措施延迟、医疗保健系统经济状况不佳、缺乏专门的教育计划、几种治疗方法的有问题的伦理方面以及专业群体和政策制定者之间沟通不畅。本文以单独段落的形式,呈现了 PPPM 专业人员对新的欧洲计划“地平线 2020”的一致立场,该计划为医疗服务和医疗保健相关计划的科学技术进步提供了持久的工具。在作者看来,地平线 2020 为预测、预防和个体化医学提供了无限的研究和实施空间。然而,该计划的总体成功强烈依赖于与 PPPM 相关的专业人员的有效沟通和整合,以及与政策制定者的沟通质量。明智的政治决策是在医疗保健领域有效实施 PPPM 的前提。这一立场侧重于患者需求、创新医学科学、优化的健康和疾病管理、相关医学领域的专家建议以及有潜力推进医疗保健服务的最佳解决方案,如果按照这里提出的建议有效地实施长期战略的话。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7d5/3985551/41b7180fe3ed/1878-5085-5-6-1.jpg

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