Kasthurirathne Suranga N, Biondich Paul G, Mamlin Burke W, Cullen Theresa A, Grannis Shaun J
School of Informatics and Computing, Indiana University, Indianapolis Indiana, USA.
Center for Biomedical Informatics, Regenstrief Institute, Indianapolis, Indiana, USA.
Stud Health Technol Inform. 2017;245:442-446.
Recent focus on Precision medicine (PM) has led to a flurry of research activities across the developed world. But how can understaffed and underfunded health care systems in the US and elsewhere evolve to adapt PM to address pressing healthcare needs? We offer guidance on a wide range of sources of healthcare data / knowledge as well as other infrastructure / tools that could inform PM initiatives, and may serve as low hanging fruit easily adapted on the incremental pathway towards a PM based healthcare system. Using these resources and tools, we propose an incremental adoption pathway to inform implementers working in underserved communities around the world on how they should position themselves to gradually embrace the concepts of PM with minimal interruption to existing care delivery.
近期对精准医学(PM)的关注引发了发达国家一系列的研究活动。但美国及其他地区人员配备不足且资金匮乏的医疗保健系统如何才能发展演变,以适应精准医学来满足紧迫的医疗需求呢?我们针对广泛的医疗保健数据/知识来源以及其他可支持精准医学计划的基础设施/工具提供指导,这些可能是在逐步迈向基于精准医学的医疗保健系统的过程中易于采用的唾手可得的成果。利用这些资源和工具,我们提出了一条渐进式采用途径,为全球服务欠缺社区的实施者提供指导,告知他们应如何定位自身,以便在对现有医疗服务交付造成最小干扰的情况下逐步接受精准医学理念。