Yoediono Ziggy, Snyderman Ralph
Duke University, Duke Center for Research on Prospective Health Care, Duke University Medical Center, 3059, Durham, NC 27705, USA.
Per Med. 2008 Jan;5(1):47-54. doi: 10.2217/17410541.5.1.47.
Today's approach to patient care and the medical record that directs and documents it is largely focused on identifying and treating the patient's disease. This has resulted in a sporadic, reactive healthcare system. Shifting medicine's focus to personalized strategic health planning will require a new approach to the patient 'work-up', a new relationship between the patient and the provider and a new medical record to support it. A prospective health record should be developed to enable personalized and preventative strategies, including assessment of health risks, evaluation of current health status, tracking of disease pathogenesis, prediction of disease events and long-term planning for maintaining wellness and limiting disease. The record should utilize emerging technologies to track predictive clinical risk factors, thereby enabling preventative responses and personalized medicine.
如今的患者护理方式以及指导和记录护理过程的病历，很大程度上都聚焦于识别和治疗患者的疾病。这导致了一个零散、被动的医疗体系。将医学重点转向个性化战略健康规划，需要一种新的患者“检查”方法、患者与医疗服务提供者之间的新型关系以及支持这一转变的新病历。应开发一份前瞻性健康记录，以实现个性化和预防性策略，包括健康风险评估、当前健康状况评估、疾病发病机制跟踪、疾病事件预测以及维持健康和限制疾病的长期规划。该记录应利用新兴技术来跟踪预测性临床风险因素，从而实现预防性应对和个性化医疗。
