Locke Amy
Osher Center for Integrative Health, Spencer Fox Eccles School of Medicine, University of Utah, Nutrition and Integrative Physiology, College of Health, University of Utah Health, Academic Consortium for Integrative Medicine and Health, Salt Lake City, UT, USA.
Glob Adv Integr Med Health. 2024 May 14;13:27536130241253607. doi: 10.1177/27536130241253607. eCollection 2024 Jan-Dec.
The ideal future state of health for the world's populations requires a cohesive model that considers the synergistic roles of communities, public health and healthcare. This future state reaffirms the importance of the relationship between practitioner and patient, focuses on the whole person, is informed by evidence, and makes use of all appropriate therapeutic and lifestyle approaches, healthcare professionals and disciplines to achieve optimal health and healing. This is the definition of Integrative Medicine. We are far from this idealistic future. Healthcare costs continue to escalate while life expectancy declines. We train our future healthcare professionals in our current disease-based model that prioritizes siloed pharmaceutical and interventional approaches over whole person prevention focused care. As healthcare professionals, we disregard our capacity to influence the leading risk factors for disease-related death and disability which include health behaviors, social, economic and environmental drivers. Burnout is high and rising. Rapid shifts are expected in the coming years as the current system's cost becomes untenable. We need a sustainable future for healthcare. That means we must figure out how to re-center on the patient, on a full spectrum of prevention and treatment, and how to influence public and community health. The future model must focus on health behaviors at its foundation, use systems thinking, be environmentally sustainable, and approach health from a population lens. The future will require an ability to consider complex systems approaches to health and wellbeing that include a focus on both the patient and the healthcare team. Research strategies must not only consider effectiveness but also reach, implementation and institutionalization in a multi-dimensional capacity that looks at whole person health as an outcome while looking at individuals in the context of where they live and work. The Integrative Medicine community has an opportunity to help lead the way to a sustainable and health focused future.
世界人口理想的未来健康状态需要一个综合模型，该模型要考虑社区、公共卫生和医疗保健的协同作用。这种未来状态重申了从业者与患者之间关系的重要性，关注人的整体，以证据为依据，并利用所有适当的治疗和生活方式方法、医疗保健专业人员和学科来实现最佳健康和康复。这就是整合医学的定义。我们离这个理想的未来还很遥远。医疗成本持续攀升，而预期寿命却在下降。我们以当前基于疾病的模式培训未来的医疗保健专业人员，这种模式优先考虑孤立的药物和介入方法，而不是以全人预防为重点的护理。作为医疗保健专业人员，我们忽视了自己影响与疾病相关的死亡和残疾的主要风险因素的能力，这些因素包括健康行为、社会、经济和环境驱动因素。职业倦怠率很高且呈上升趋势。随着当前系统的成本变得难以维持，预计未来几年会发生快速转变。我们需要医疗保健的可持续未来。这意味着我们必须弄清楚如何以患者为中心，全面开展预防和治疗，以及如何影响公众和社区健康。未来的模式必须以健康行为为基础，运用系统思维，在环境方面具有可持续性，并从人群的角度看待健康。未来将需要有能力考虑采用复杂的系统方法来促进健康和福祉，这包括关注患者和医疗团队。研究策略不仅要考虑有效性，还要在多维度能力方面考虑覆盖面、实施和制度化，将全人健康视为结果，同时在人们生活和工作的背景下看待个体。整合医学领域有机会引领通往可持续且以健康为重点的未来之路。
