精准急诊医学。

IF 3.4 3区 医学 Q1 EMERGENCY MEDICINE Academic Emergency Medicine Pub Date : 2024-06-28 DOI:10.1111/acem.14962
Matthew Strehlow, Al'ai Alvarez, Andra L Blomkalns, Holly Caretta-Wyer, Laleh Gharahbaghian, Daniel Imler, Ayesha Khan, Moon Lee, Viveta Lobo, Jennifer A Newberry, Ryan Riberia, Stefanie Sebok-Syer, Sam Shen, Michael A Gisondi
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引用次数: 0

摘要

背景:精准医疗是一门新兴的科学学科,旨在结合生物、行为和社会因素中的个体差异,制定个性化的医疗解决方案。迄今为止,急诊医学尚未深入参与精准健康运动。然而,医疗技术、数据科学和医学信息学的快速发展为急诊医学实现精准医疗的承诺提供了新的机遇:在本文中,我们将精准急诊医学概念化为一种新兴模式,并确定了将其应用于当前和未来临床实践的关键驱动因素。我们承认精准急诊医学在整个专科范围内应用的重要障碍,并提供了设想成功前进道路的解决方案:精准急诊医学的定义是利用信息和技术,有效、高效、真实地为患者及其社区提供急诊服务。关键的驱动力和机遇包括利用人类数据、利用技术和数字工具、提供审慎的医疗服务、促进人口健康以及重新规划医疗服务提供者的教育和角色。克服公平、隐私和成本方面的挑战是成功的关键。最后,我们呼吁采取行动,积极将精准医疗纳入急诊医学的临床实践、未来急诊医师的培训以及该专业的研究议程中:精准急诊医学利用新技术和数据驱动的人工智能来推进诊断检测、个性化患者护理计划和治疗方法,并从战略上完善医疗系统与社区的融合。
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Precision emergency medicine.

Background: Precision health is a burgeoning scientific discipline that aims to incorporate individual variability in biological, behavioral, and social factors to develop personalized health solutions. To date, emergency medicine has not deeply engaged in the precision health movement. However, rapid advances in health technology, data science, and medical informatics offer new opportunities for emergency medicine to realize the promises of precision health.

Methods: In this article, we conceptualize precision emergency medicine as an emerging paradigm and identify key drivers of its implementation into current and future clinical practice. We acknowledge important obstacles to the specialty-wide adoption of precision emergency medicine and offer solutions that conceive a successful path forward.

Results: Precision emergency medicine is defined as the use of information and technology to deliver acute care effectively, efficiently, and authentically to individual patients and their communities. Key drivers and opportunities include leveraging human data, capitalizing on technology and digital tools, providing deliberate access to care, advancing population health, and reimagining provider education and roles. Overcoming challenges in equity, privacy, and cost is essential for success. We close with a call to action to proactively incorporate precision health into the clinical practice of emergency medicine, the training of future emergency physicians, and the research agenda of the specialty.

Conclusions: Precision emergency medicine leverages new technology and data-driven artificial intelligence to advance diagnostic testing, individualize patient care plans and therapeutics, and strategically refine the convergence of the health system and the community.

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来源期刊
Academic Emergency Medicine
Academic Emergency Medicine 医学-急救医学
CiteScore
7.60
自引率
6.80%
发文量
207
审稿时长
3-8 weeks
期刊介绍: Academic Emergency Medicine (AEM) is the official monthly publication of the Society for Academic Emergency Medicine (SAEM) and publishes information relevant to the practice, educational advancements, and investigation of emergency medicine. It is the second-largest peer-reviewed scientific journal in the specialty of emergency medicine. The goal of AEM is to advance the science, education, and clinical practice of emergency medicine, to serve as a voice for the academic emergency medicine community, and to promote SAEM''s goals and objectives. Members and non-members worldwide depend on this journal for translational medicine relevant to emergency medicine, as well as for clinical news, case studies and more. Each issue contains information relevant to the research, educational advancements, and practice in emergency medicine. Subject matter is diverse, including preclinical studies, clinical topics, health policy, and educational methods. The research of SAEM members contributes significantly to the scientific content and development of the journal.
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