Buhmeida Abdelbaset, Assidi Mourad, Budowle Bruce
Center of Excellence in Genomic Medicine Research, King Abdulaziz University, Jeddah 21589, Saudi Arabia.
Department of Forensic Medicine, University of Helsinki, Universitetsgatan 2, 00100 Helsinki, Finland.
Healthcare (Basel). 2023 May 10;11(10):1382. doi: 10.3390/healthcare11101382.
Despite the significant achievements of current healthcare systems (CHCSs) in curing or treating several acute conditions, there has been far less success coping with noncommunicable diseases (NCDs), which have complex roots and nonconventional transmission vectors. Owing to the impact of the invisible hyperendemic NCDs and the COVID-19 pandemic, the limitations of CHCSs have been exposed. In contrast, the advent of omics-based technologies and big data science has raised global hope of curing or treating NCDs and improving overall healthcare outcomes. However, challenges related to their use and effectiveness must be addressed. Additionally, while such advancements intend to improve quality of life, they can also contribute the ever-increasing health disparity among vulnerable populations, such as low/middle-income populations, poorly educated people, gender-based violence victims, and minority and indigenous peoples, to name a few. Among five health determinants, the contribution of medical care to individual health does not exceed 11%. Therefore, it is time to implement a new well-being-oriented system complementary or parallel to CHCSs that incorporates all five health determinants to tackle NCDs and unforeseen diseases of the future, as well as to promote cost-effective, accessible, and sustainable healthy lifestyle choices that can reduce the current level of healthcare inequity.
尽管当前医疗保健系统(CHCSs)在治愈或治疗多种急性疾病方面取得了显著成就,但在应对非传染性疾病(NCDs)方面却远没有那么成功,因为这些疾病有着复杂的根源和非常规的传播途径。由于无形的高度流行的非传染性疾病和新冠疫情的影响,CHCSs的局限性已经暴露出来。相比之下,基于组学的技术和大数据科学的出现,给治愈或治疗非传染性疾病以及改善整体医疗保健结果带来了全球希望。然而,必须解决与它们的使用和有效性相关的挑战。此外,虽然这些进步旨在提高生活质量,但它们也可能加剧弱势群体(如低收入/中等收入人群、受教育程度低的人、基于性别的暴力受害者以及少数族裔和原住民等)之间日益扩大的健康差距。在五个健康决定因素中,医疗保健对个人健康的贡献不超过11%。因此,现在是时候实施一个与CHCSs互补或并行的、以福祉为导向的新系统了,该系统纳入所有五个健康决定因素,以应对非传染性疾病和未来不可预见的疾病,并促进具有成本效益、可及且可持续的健康生活方式选择,从而减少当前的医疗保健不公平程度。