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共病的挑战:我们是否应该在关注医学教育的同时,同样关注临床决策支持?

The challenge of comorbidities: should we focus on clinical decision support as much as medical education?

作者信息

Walsh Kieran

机构信息

BMJ.

出版信息

MedEdPublish (2016). 2021 Feb 22;10:51. doi: 10.15694/mep.2021.000051.1. eCollection 2021.

Abstract

This article was migrated. The article was marked as recommended. Comorbidities present a great challenge to healthcare professionals and the health service. One in four patients now have two or more conditions. The prevalence of comorbidities increases with age and the population is continuing to grow older. Our response thus far has been slow and the solutions that have been suggested may not be scalable. There have been multiple calls for medical education to do more to address the issue of comorbidities. However existing ways of tackling this problem are unlikely to be scalable. It is impossible to learn and remember how to manage the many different potential combinations of acute diseases and comorbidities. Online clinical decision support has until the present enabled the management of patients with single conditions. But advances in clinical decision support can now enable the management of patients with multiple conditions.

摘要

本文已迁移。该文章被标记为推荐。合并症给医疗专业人员和医疗服务带来了巨大挑战。现在四分之一的患者患有两种或更多疾病。合并症的患病率随年龄增长而增加,且人口持续老龄化。我们目前的应对措施一直很缓慢,所提出的解决方案可能无法扩大规模。已有多次呼吁医学教育要更多地解决合并症问题。然而,现有的解决这个问题的方法不太可能扩大规模。要学习并记住如何管理急性疾病和合并症的众多不同潜在组合是不可能的。直到现在,在线临床决策支持仅能用于管理单一病症的患者。但临床决策支持的进展现在能够实现对患有多种病症患者的管理。

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