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Structured Decision-Making: Using Personalized Medicine to Improve the Value of Cancer Care

机译:结构化决策:使用个性化医学提高癌症护理的价值

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Cancer care is often inconsistently delivered with inadequate incorporation of patient values and objective evidence into decision-making. Utilization of time limited trials of care with predefined decision points that are based on iteratively updated best evidence, tools that inform providers about a patient’s experience and values, and known information about a patient’s disease will allow superior matched care to be delivered. Personalized medicine does not merely refer to the incorporation of genetic information into clinical care, it involves utilization of the wide array of data points relevant to care, many of which are readily available at the bedside today. By pushing uptake of personalized matching available today, clinicians can better address the triple aim of improved health, lowers costs, and enhanced patient experience, and we can prepare the health care landscape for the iterative inclusion of progressively more sophisticated information as newer tests and information become available to support the personalized medicine paradigm.
机译:癌症护理常常由于患者价值和客观证据未充分纳入决策制定而不一致。利用有限时间的护理试验以及基于反复更新的最佳证据的预定义决策点,可告知提供商患者的经验和价值观的工具以及有关患者疾病的已知信息,可以提供优质的匹配护理。个性化医学不仅指将遗传信息整合到临床治疗中,还涉及利用与治疗有关的各种数据点,其中许多数据点如今在病床旁就可以轻易获得。通过推动当今可用的个性化匹配的使用,临床医生可以更好地解决改善健康,降低成本和增强患者体验的三重目标,并且我们可以为医疗保健领域的发展做准备,以便逐步将越来越复杂的信息作为更新的测试和信息纳入可以用来支持个性化医学范例。

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