Griggs Robert C, Fontaine Bertrand, Sobue Gen
Department of Neurology (RCG), University of Rochester School of Medicine and Dentistry, Rochester, New York; Assistance Publique-Hopitaux de Paris (BF), Department of Neurology, Pitié-Salpêtrière Hospital, Paris, France, and Université Pierre et Marie Curie-INSERM-CNRS (BF), UMR 975-7225, Institut Cerveau Moelle-ICM, Pitié-Salpêtrière Hospital, Paris; and Department of Neurology (GS), Nagoya University Graduate School of Medicine, Nagoya, Japan.
Neurol Clin Pract. 2011 Dec;1(1):49-54. doi: 10.1212/CPJ.0b013e31823b4e83.
The change in the practice of neurology from a diagnostic to a therapeutic specialty has empowered neurologists to make increasingly important decisions and recommendations for patients. With better understanding of disease pathogenesis and treatment has come the need to focus on disease prevention and the avoidance of treatment side effects. An increasingly automated and mechanized health care system has challenged us to integrate vast amounts of data that have a direct effect on patient risks and treatment, and to develop systems that avoid medical errors and allocate resources appropriately. It is imperative that we reaffirm the wisdom of clinical experience and judgment to inform our use of new technologies lest we lose the art of listening to and caring for the patient.
神经病学实践从诊断性专业向治疗性专业的转变，使神经科医生能够为患者做出越来越重要的决策和建议。随着对疾病发病机制和治疗方法的深入了解，人们越来越需要关注疾病预防和避免治疗副作用。日益自动化和机械化的医疗保健系统向我们提出了挑战，要求我们整合大量对患者风险和治疗有直接影响的数据，并开发能够避免医疗差错和合理分配资源的系统。我们必须重申临床经验和判断力的智慧，以便在使用新技术时有所依据，以免我们失去倾听和关爱患者的艺术。
