为什么我们更关心疾病而不是健康?

IF 3.7 Q2 GENETICS & HEREDITY Phenomics (Cham, Switzerland) Pub Date : 2022-01-28 eCollection Date: 2022-06-01 DOI:10.1007/s43657-021-00037-8
Martin Picard
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摘要

现代西方生物医学研究和临床实践主要关注疾病。这种以疾病为中心的研究方法产生了大量与疾病相关的知识。然而,相比之下,研究人员和医生对健康却知之甚少。什么是健康?我们如何量化它?如何改善健康?对于这些问题,我们目前还没有很好的答案。我们缺乏关于健康的基本知识,部分原因在于以下三个主要因素:(i) 缺乏对导致健康/疾病状态随时间变化的动态过程的了解,(ii) 过分关注基因,(iii) 普遍存在对附加解决方案的心理偏见。在此,我将简要讨论科学家和资助者普遍采用以基因和疾病为中心的框架的潜在原因,以及医学如何最终沦为 "疾病护理 "而非医疗保健,并提出粗略的证据来说明另一种能量健康观。以类似于绘制疾病过程图的精确度来理解人类健康的基础,可以让我们在疾病出现在扫描结果或血液检查结果之前,就能积极支持和促进人类一生的健康。
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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Why Do We Care More About Disease than Health?

Modern Western biomedical research and clinical practice are primarily focused on disease. This disease-centric approach has yielded an impressive amount of knowledge around what goes wrong in illness. However, in comparison, researchers and physicians know little about health. What is health? How do we quantify it? And how do we improve it? We currently do not have good answers to these questions. Our lack of fundamental knowledge about health is partly driven by three main factors: (i) a lack of understanding of the dynamic processes that cause variations in health/disease states over time, (ii) an excessive focus on genes, and (iii) a pervasive psychological bias towards additive solutions. Here I briefly discuss potential reasons why scientists and funders have generally adopted a gene- and disease-centric framework, how medicine has ended up practicing "diseasecare" rather than healthcare, and present cursory evidence that points towards an alternative energetic view of health. Understanding the basis of human health with a similar degree of precision that has been deployed towards mapping disease processes could bring us to a point where we can actively support and promote human health across the lifespan, before disease shows up on a scan or in bloodwork.

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