Aronson Samuel J, Rehm Heidi L
Partners HealthCare Personalized Medicine, Boston, Massachusetts 02115, USA.
Partners HealthCare Research Information Services and Computing, Charlestown, Massachusetts 02129, USA.
Nature. 2015 Oct 15;526(7573):336-42. doi: 10.1038/nature15816.
Precision medicine has the potential to profoundly improve the practice of medicine. However, the advances required will take time to implement. Genetics is already being used to direct clinical decision-making and its contribution is likely to increase. To accelerate these advances, fundamental changes are needed in the infrastructure and mechanisms for data collection, storage and sharing. This will create a continuously learning health-care system with seamless cycling between clinical care and research. Patients must be educated about the benefits of sharing data. The building blocks for such a system are already forming and they will accelerate the adoption of precision medicine.
精准医学有潜力极大地改善医疗实践。然而,所需的进展实施起来需要时间。遗传学已被用于指导临床决策,其贡献可能会增加。为了加速这些进展,数据收集、存储和共享的基础设施及机制需要进行根本性变革。这将创建一个持续学习的医疗保健系统,使临床护理和研究之间实现无缝循环。必须让患者了解数据共享的益处。这样一个系统的基础已经在形成,它们将加速精准医学的应用。