Majnarić Ljiljana Trtica, Babič František, O'Sullivan Shane, Holzinger Andreas
Department of Internal Medicine, Family Medicine and the History of Medicine, Faculty of Medicine, University Josip Juraj Strossmayer, 31000 Osijek, Croatia.
Department of Public Health, Faculty of Dental Medicine, University Josip Juraj Strossmayer, 31000 Osijek, Croatia.
J Clin Med. 2021 Feb 14;10(4):766. doi: 10.3390/jcm10040766.
Multimorbidity refers to the coexistence of two or more chronic diseases in one person. Therefore, patients with multimorbidity have multiple and special care needs. However, in practice it is difficult to meet these needs because the organizational processes of current healthcare systems tend to be tailored to a single disease. To improve clinical decision making and patient care in multimorbidity, a radical change in the problem-solving approach to medical research and treatment is needed. In addition to the traditional reductionist approach, we propose interactive research supported by artificial intelligence (AI) and advanced big data analytics. Such research approach, when applied to data routinely collected in healthcare settings, provides an integrated platform for research tasks related to multimorbidity. This may include, for example, prediction, correlation, and classification problems based on multiple interaction factors. However, to realize the idea of this paradigm shift in multimorbidity research, the optimization, standardization, and most importantly, the integration of electronic health data into a common national and international research infrastructure is needed. Ultimately, there is a need for the integration and implementation of efficient AI approaches, particularly deep learning, into clinical routine directly within the workflows of the medical professionals.
多重疾病指的是一个人同时患有两种或更多种慢性疾病。因此,患有多重疾病的患者有多种特殊的护理需求。然而,在实际中很难满足这些需求,因为当前医疗保健系统的组织流程往往是针对单一疾病量身定制的。为了改善多重疾病情况下的临床决策和患者护理,需要在医学研究和治疗的解决问题方法上进行根本性变革。除了传统的还原论方法,我们提出由人工智能(AI)和先进的大数据分析支持的交互式研究。这种研究方法应用于医疗环境中常规收集的数据时,为与多重疾病相关的研究任务提供了一个集成平台。这可能包括,例如,基于多个相互作用因素的预测、相关性和分类问题。然而,为了实现多重疾病研究中这种范式转变的理念,需要将电子健康数据进行优化、标准化,最重要的是,将其整合到一个共同的国家和国际研究基础设施中。最终,需要将高效的人工智能方法,特别是深度学习,直接在医疗专业人员的工作流程中集成并应用到临床常规中。