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以技术为支撑的、以健康为中心的医疗保健的经济必要性。

The economic imperatives for technology enabled wellness centered healthcare.

机构信息

Connected Health Program, Global Drug Development, Novartis Pharmaceuticals, 1 Health Plaza, East Hanover, NJ, 07936, USA.

Clinical and Translational Science Institute, Tufts University Medical Center, 800 Washington Street, Boston, MA, 02111, USA.

出版信息

J Public Health Policy. 2022 Sep;43(3):456-468. doi: 10.1057/s41271-022-00356-8. Epub 2022 Aug 3.

Abstract

A 2020 World Health Organization report underscored the impact of rising healthcare spending globally and questioned the long-term economic sustainability of current funding models. Increases in costs associated with care of late-stage irreversible diseases and the increasing prevalence of debilitating neurodegenerative disorders, coupled with increases in life expectancy are likely to overload the healthcare systems in many nations within the next decade if not addressed. One option for sustainability of the healthcare system is a change in emphasis from illness to wellness centered care. An attractive model is the P4 (Predictive, Preventative, Personalized and Participatory) medicine approach. Recent advances in connected health technology can help accelerate this transition; they offer prediction, diagnosis, and monitoring of health-related parameters. We explain how to integrate such technologies with conventional approaches and guide public health policy toward wellness-based care models and strategies to relieve the escalating economic burdens of managed care.

摘要

2020 年世界卫生组织的一份报告强调了全球医疗保健支出不断上升的影响,并对当前资金模式的长期经济可持续性提出了质疑。与晚期不可逆疾病护理相关的成本增加,以及使人衰弱的神经退行性疾病的发病率不断上升,再加上预期寿命的延长,如果不加以解决,很可能在未来十年内使许多国家的医疗系统不堪重负。医疗保健系统可持续性的一个选择是,将重点从疾病治疗转变为以健康为中心的护理。一个有吸引力的模式是 P4(预测性、预防性、个体化和参与性)医学方法。互联健康技术的最新进展可以帮助加速这一转变;它们提供了与健康相关参数的预测、诊断和监测。我们解释了如何将这些技术与传统方法相结合,并引导公共卫生政策朝着以健康为基础的护理模式和策略发展,以减轻管理式医疗不断升级的经济负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/982a/9592628/4b493fd78d4e/41271_2022_356_Fig1_HTML.jpg

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