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Introduction into PPPM as a new paradigm of public health service: an integrative view

机译:将PPPM引入作为公共卫生服务的新范式:综合观点

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摘要

In the present state of healthcare, usual medical care is generally given to the already diseased person, while the key link—personal health monitoring underlain by predictive, preventive, and personalised medicine (PPPM) techniques that are being intensively elaborated worldwide—is simply missing. It is this link, based on the recognition of subclinical conditions, prediction, and further preventive measures, that is capable of regulating morbidity and diminishing the rates of disability among able-bodied population, thus significantly cutting the traditionally high costs of treating the already diseased people. To achieve the above-mentioned goal—the elaboration of the PPPM concept and its practical implementation—it is necessary to create a fundamentally new strategy based upon the subclinical recognition of the signs—bioindicators of cryptic abnormalities long before the disease clinically manifests itself. The implementation of PPPM programme requires an adjusted technology for the proper interpretation of diagnostic data, which would allow for the current ‘physician-patient’ model to be gradually replaced by a novel model, ‘medical advisor-healthy men-at-risk’. This is the reason for an additional need in organising combinatorial scientific, clinical, training and educational projects in the area of PPPM to elicit the content of this new branch of medicine.
机译:在目前的医疗保健状况下,通常已经给已经患病的人提供常规医疗服务,而关键环节-由在全球范围内精心制定的预测,预防和个性化医疗(PPPM)技术进行的个人健康监测-根本就没有了。 。正是这种联系基于对亚临床疾病的认识,预测和进一步的预防措施,能够调节发病率并降低健全人群的残疾率,从而显着降低了传统上已患病的高昂治疗费用人。为了实现上述目标(PPPM概念的详细阐述及其实际实施),有必要在亚临床认识到体征(隐匿性异常的生物指标)之前,从疾病临床表现很久以前,制定一项根本上新的策略。 PPPM计划的实施需要经过调整的技术,以正确解释诊断数据,这将使当前的“医师-患者”模型逐渐被新颖的模型“医疗顾问-健康的高危男性”取代。这就是在PPPM领域组织组织科学,临床,培训和教育项目的附加需求的原因,以激发这一新医学分支的内容。

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