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公共卫生的新挑战:聚焦个性化医疗的未来。

New challenges of public health: bringing the future of personalised healthcare into focus.

作者信息

Ricciardi Walter, Boccia Stefania

机构信息

Section of Hygiene, Institute of Public Health, Faculty of Medicine, Università Cattolica del Sacro Cuore, Fondazione Policlinico "A. Gemelli", Milano, Italy.

National Institute of Health, Rome, Italy.

出版信息

Eur J Public Health. 2017 Oct 1;27(suppl_4):36-39. doi: 10.1093/eurpub/ckx164.

Abstract

The greater personalization of healthcare represents a driver of innovation for research, and for the healthcare systems and industries as a whole. Still policy-makers, healthcare professionals, citizens and private companies need to take some steps to realize the potential for such a radical shift. In this paper, we illustrate the challenges, the benefits and consequences that might accompany the implementation of personalized healthcare, and the steps that policy-makers and practitioners would need to take to realise its potential. Six main prerequisites for radical change in healthcare are presented, that include achieving better genetic literacy for professionals and for the public; engaging citizen in the discourse; improved governance, consent and trust in healthcare; feeding and harnessing the data-knowledge cycle for better health; adopting and adapting the Health Technology Assessment framework for the evaluation of the new technologies; and retaining humanity and community in health and care. Some of these concepts originate from a discussion on the future of health and healthcare, looking at least 15-20 years into the future, that we had at the end of 2016 at Ickworth with an international group of experts, under the aegis of the PHG Foundation.

摘要

医疗保健的更大个性化是研究以及整个医疗保健系统和行业创新的驱动力。然而,政策制定者、医疗保健专业人员、公民和私营公司需要采取一些措施来实现这种根本性转变的潜力。在本文中,我们阐述了实施个性化医疗保健可能带来的挑战、益处和后果,以及政策制定者和从业者为实现其潜力需要采取的步骤。文中提出了医疗保健发生根本性变革的六个主要先决条件,包括提高专业人员和公众的基因素养;让公民参与讨论;改善医疗保健中的治理、同意和信任;为了更好的健康利用和驾驭数据 - 知识循环;采用并调整卫生技术评估框架以评估新技术;以及在健康和护理中保留人性和社区意识。其中一些概念源自我们于2016年底在伊克沃思(Ickworth)在PHG基金会的支持下与一群国际专家进行的关于健康和医疗保健未来的讨论,该讨论展望了至少15至20年的未来。

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