医学的未来,精准医疗的医疗创新:卡塔尔的政策案例研究。

IF 3.1 Q1 Arts and Humanities Life Sciences, Society and Policy Pub Date : 2020-11-01 DOI:10.1186/s40504-020-00107-1
M Walid Qoronfleh, Lotfi Chouchane, Borbala Mifsud, Maryam Al Emadi, Said Ismail
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引用次数: 1

摘要

2016年,世界卫生创新峰会(WISH)发布了精准医疗论坛报告《精准医疗——全球影响力行动计划》。医疗保健正在经历转型,必须利用新技术生成新数据并支持精准医疗(PM)的出现。最近的科学突破和技术进步提高了我们的疾病知识,改变了诊断和治疗方法,从而为个体患者定制了更精确、预测性、预防性和个性化的医疗保健。因此,大数据革命为应用人工智能和机器学习算法来挖掘如此庞大的数据集提供了机会。此外,个性化医疗有望彻底改变医疗保健,其关键目标是在正确的时间和剂量为正确的患者提供正确的治疗,从而有可能提高生活质量并帮助降低医疗保健成本。本政策简报将详细探讨有关持续发展、持续投资、风险因素、测试和批准创新的问题,以实现更好的战略和更快的进程。该文件将成为加强卡塔尔当权者之间有意识决策所需的政策桥梁,以便找到协调卫生领域多种活动和责任的方法。卡塔尔的最终目标将是提高公众的意识和参与,并有效地将令人难以置信的研究进展整合到医疗保健系统中,以造福所有患者。总理政策简报提供了在卡塔尔和国际上推进总理倡议的具体建议。同样重要的是,在初级保健环境中整合项目管理,通过意识和倡导建立社区冠军联盟,最后,传播项目管理价值,患者参与/授权和教育/医疗保健工作人员的持续专业发展计划。卡塔尔境内外实施精准医疗的主要建议:建立社区意识和项目管理教育计划让患者参与并赋予他们权力沟通项目管理价值开发适当的基础设施和信息管理系统将PM集成到标准医疗保健系统中并确保获得护理PM不再是未来的。它就在这里。在常规临床护理中实施PM确实需要一些投资和基础设施建设。成本和缺乏专业知识总是被认为是项目管理实施的障碍。同样重要的是医疗保健专家的课程和专业发展。决策者需要领导和协调利益相关者之间的努力,并考虑文化和信仰观点,以确保成功。决策者必须将项目管理方法纳入国家战略,以改善所有人的健康和卫生保健,并推动医学精准卫生的未来。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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THE FUTURE OF MEDICINE, healthcare innovation through precision medicine: policy case study of Qatar.

In 2016, the World Innovation Summit for Health (WISH) published its Forum Report on precision medicine "PRECISION MEDICINE - A GLOBAL ACTION PLAN FOR IMPACT". Healthcare is undergoing a transformation, and it is imperative to leverage new technologies to generate new data and support the advent of precision medicine (PM). Recent scientific breakthroughs and technological advancements have improved our disease knowledge and altered diagnosis and treatment approaches resulting in a more precise, predictive, preventative and personalized health care that is customized for the individual patient. Consequently, the big data revolution has provided an opportunity to apply artificial intelligence and machine learning algorithms to mine such a vast data set. Additionally, personalized medicine promises to revolutionize healthcare, with its key goal of providing the right treatment to the right patient at the right time and dose, and thus the potential of improving quality of life and helping to bring down healthcare costs.This policy briefing will look in detail at the issues surrounding continued development, sustained investment, risk factors, testing and approval of innovations for better strategy and faster process. The paper will serve as a policy bridge that is required to enhance a conscious decision among the powers-that-be in Qatar in order to find a way to harmonize multiple strands of activity and responsibility in the health arena. The end goal will be for Qatar to enhance public awareness and engagement and to integrate effectively the incredible advances in research into healthcare systems, for the benefit of all patients.The PM policy briefing provides concrete recommendations on moving forward with PM initiatives in Qatar and internationally. Equally important, integration of PM within a primary care setting, building a coalition of community champions through awareness and advocacy, finally, communicating PM value, patient engagement/empowerment and education/continued professional development programs of the healthcare workforce.Key recommendations for implementation of precision medicine inside and outside Qatar: 1. Create Community Awareness and PM Education Programs 2. Engage and Empower Patients 3. Communicate PM Value 4. Develop appropriate Infrastructure and Information Management Systems 5. Integrate PM into standard Healthcare System and Ensure Access to Care PM is no longer futuristic. It is here. Implementing PM in routine clinical care does require some investment and infrastructure development. Invariably, cost and lack of expertise are cited as barriers to PM implementation. Equally consequential, are the curriculum and professional development of medical care experts.Policymakers need to lead and coordinate effort among stakeholders and consider cultural and faith perspectives to ensure success. It is essential that policymakers integrate PM approaches into national strategies to improve health and health care for all, and to drive towards the future of medicine precision health.

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来源期刊
Life Sciences, Society and Policy
Life Sciences, Society and Policy Arts and Humanities-Philosophy
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期刊介绍: The purpose of Life Sciences, Society and Policy (LSSP) is to analyse social, ethical and legal dimensions of the most dynamic branches of life sciences and technologies, and to discuss ways to foster responsible innovation, sustainable development and user-driven social policies. LSSP provides an academic forum for engaged scholarship at the intersection of life sciences, philosophy, bioethics, science studies and policy research, and covers a broad area of inquiry both in emerging research areas such as genomics, bioinformatics, biophysics, molecular engineering, nanotechnology and synthetic biology, and in more applied fields such as translational medicine, food science, environmental science, climate studies, research on animals, sustainability, science education and others. The goal is to produce insights, tools and recommendations that are relevant not only for academic researchers and teachers, but also for civil society, policy makers and industry, as well as for professionals in education, health care and the media, thus contributing to better research practices, better policies, and a more sustainable global society.
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