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预防医学在未来数字健康时代的应用。

The Application of Preventive Medicine in the Future Digital Health Era.

作者信息

De la Torre Katherine, Min Sukhong, Lee Hyobin, Kang Daehee

机构信息

Department of Biomedical Sciences, Seoul National University Graduate School, Seoul, Republic of Korea.

Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.

出版信息

J Med Internet Res. 2025 Feb 27;27:e59165. doi: 10.2196/59165.

Abstract

A number of seismic shifts are expected to reshape the future of medicine. The global population is rapidly aging, significantly impacting the global disease burden. Medicine is undergoing a paradigm shift, defining and diagnosing diseases at earlier stages and shifting the health care focus from treating diseases to preventing them. The application and purview of digital medicine are expected to broaden significantly. Furthermore, the COVID-19 pandemic has further accelerated the shift toward predictive, preventive, personalized, and participatory (P4) medicine, and has identified health care accessibility, affordability, and patient empowerment as core values in the future digital health era. This "left shift" toward preventive care is anticipated to redefine health care, emphasizing health promotion over disease treatment. In the future, the traditional triad of preventive medicine-primary, secondary, and tertiary prevention-will be realized with technologies such as genomics, artificial intelligence, bioengineering and wearable devices, and telemedicine. Breast cancer and diabetes serve as case studies to demonstrate how these technologies such as personalized risk assessment, artificial intelligence-assisted and app-based technologies, have been developed and commercialized to provide personalized preventive care, identifying those at a higher risk and providing instructions and interventions for healthier lifestyles and improved quality of life. Overall, preventive medicine and the use of advanced technology will hold great potential for improving health care outcomes in the future.

摘要

预计一些重大变革将重塑医学的未来。全球人口正在迅速老龄化,这对全球疾病负担产生了重大影响。医学正在经历范式转变,在更早阶段定义和诊断疾病,并将医疗保健重点从治疗疾病转向预防疾病。数字医学的应用范围预计将大幅拓宽。此外,新冠疫情进一步加速了向预测性、预防性、个性化和参与性(P4)医学的转变,并将医疗保健的可及性、可负担性和患者赋权确定为未来数字健康时代的核心价值观。这种向预防性医疗的“左移”预计将重新定义医疗保健,强调健康促进而非疾病治疗。未来,通过基因组学、人工智能、生物工程、可穿戴设备和远程医疗等技术,将实现预防医学的传统三级预防——一级、二级和三级预防。乳腺癌和糖尿病作为案例研究,展示了个性化风险评估、人工智能辅助和基于应用程序的技术等这些技术是如何开发和商业化,以提供个性化预防保健的,识别出高风险人群,并为更健康的生活方式和改善生活质量提供指导和干预措施。总体而言,预防医学和先进技术的应用在未来改善医疗保健结果方面将具有巨大潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68c9/11907169/add25c12f108/jmir_v27i1e59165_fig1.jpg

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