Section of Hygiene, University Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy.
Steinbeis Europa Zentrum (SEZ), Stuttgart, Germany.
Eur J Public Health. 2022 Nov 29;32(6):844-851. doi: 10.1093/eurpub/ckac103.
The spread of Personalized Medicine (PM) over the last decade defined a revolution in healthcare systems. PM is among the priorities of the European Commission's research agenda, which funded the IC2PerMed international project aiming to integrate China into the International Consortium of PM (ICPerMed). In the context of this project, we mapped the existing policies related to PM in the European Union (EU) and at the EU Member States (EU-MS) level.
PubMed, Google Scholar, Google, Microsoft and national and international institutions' official repositories were searched in order to identify documents on PM-related policies, programmes and action plans at the EU and EU-MS level, published up to December 2020.
We identified 28 policies in the EU aimed at improving public health promoting and fostering PM implementation, through some actions including the standardization of good medical practice, use of big data and digital innovation, data sharing and cross-border interoperability, healthcare sustainability, disease prevention and patients'/citizens' engagement. We identified 23 policies at EU-MS level which, notwithstanding national differences, have a common focus, such as patient-tailored treatment and targeted prevention, education of healthcare workers, research and innovation, big data harmonization and healthcare system sustainability.
The definition of an integrated regulatory framework is essential to turn PM into an opportunity for citizens and patients with the involvement of all the stakeholders. This work can provide a valuable tool for decision-makers to define common approaches, priorities for research, development and increase international collaboration, which could overcome the fragmented European scenario and align the future direction on PM.
个性化医疗(PM)在过去十年的普及定义了医疗保健系统的一场革命。PM 是欧盟委员会研究议程的优先事项之一,该议程资助了 IC2PerMed 国际项目,旨在将中国纳入国际 PM 联合会(ICPerMed)。在该项目的背景下,我们绘制了欧盟(EU)和欧盟成员国(EU-MS)层面上与 PM 相关的现有政策。
为了确定欧盟和欧盟成员国层面上与 PM 相关的政策、计划和行动计划,我们在 PubMed、Google Scholar、Google、Microsoft 以及国家和国际机构的官方资料库中进行了搜索,这些文件的发表时间截至 2020 年 12 月。
我们在欧盟层面上确定了 28 项政策,旨在通过一些行动改善公共卫生,促进和推动 PM 的实施,这些行动包括规范良好的医疗实践、使用大数据和数字创新、数据共享和跨境互操作性、医疗保健的可持续性、疾病预防和患者/公民的参与。我们在欧盟成员国层面上确定了 23 项政策,尽管存在国家差异,但这些政策有一个共同的重点,例如针对患者的治疗和有针对性的预防、医疗保健工作者的教育、研究和创新、大数据的协调以及医疗保健系统的可持续性。
制定一个综合的监管框架对于将 PM 转变为公民和患者的机会至关重要,需要所有利益相关者的参与。这项工作可以为决策者提供一个有价值的工具,以确定共同的方法、研究、发展的优先事项,并增加国际合作,从而克服欧洲分散的局面,并为 PM 确定未来的方向。