El-Alti Leila, Sandman Lars, Munthe Christian
Department of Philosophy, Linguistics, and Theory of Science, University of Gothenburg, Olof Wijksgatan 6, Box 200, 40530, Gothenburg, Sweden.
Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
Health Care Anal. 2019 Mar;27(1):45-59. doi: 10.1007/s10728-017-0347-5.
In contrast to standardized guidelines, personalized medicine and person centered care are two notions that have recently developed and are aspiring for more individualized health care for each single patient. While having a similar drive toward individualized care, their sources are markedly different. While personalized medicine stems from a biomedical framework, person centered care originates from a caring perspective, and a wish for a more holistic view of patients. It is unclear to what extent these two concepts can be combined or if they conflict at fundamental or pragmatic levels. This paper reviews existing literature in both medicine and related philosophy to analyze closer the meaning of the two notions, and to explore the extent to which they overlap or oppose each other, in theory or in practice, in particular regarding ethical assumptions and their respective practical implications.
与标准化指南不同,个性化医疗和以患者为中心的护理是最近才发展起来的两个概念,它们致力于为每一位患者提供更个性化的医疗服务。虽然它们都朝着个性化护理的方向发展,但其来源却明显不同。个性化医疗源于生物医学框架,而以患者为中心的护理则源于关怀视角以及对患者更全面看法的愿望。目前尚不清楚这两个概念在何种程度上可以结合,或者它们在根本层面或实际层面是否存在冲突。本文回顾了医学及相关哲学领域的现有文献,以更深入地分析这两个概念的含义,并探讨它们在理论或实践中相互重叠或对立的程度,特别是在伦理假设及其各自的实际影响方面。