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首页> 外文期刊>Pulse, IEEE >A Data-Rich Longitudinal Wellness Study for the Digital Age: Fixing a Broken Medical System Requires Data About Each Patient
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A Data-Rich Longitudinal Wellness Study for the Digital Age: Fixing a Broken Medical System Requires Data About Each Patient

机译：针对数字时代的数据丰富的纵向健康研究：修复损坏的医疗系统需要每位患者的数据

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We live in an age of plentiful information, collected continuously by pervasive gadgetry, distributed through digital and social networks, and mined deeply by ever-more-powerful analytics systems. And yet, one of the things we know the least about is our bodies. When it comes to our own health, we are driving blindly. Modern medicine has clearly been remarkably successful, as evidenced by continually growing life expectancies. For example, the number of people 65 and older in the United States has seen a steady increase over the last century, rising from 3.1 million in 1900 to 41.4 million as of 2011-and is expected to grow to 80 million by 2040. Concurrently, the number (and fraction) of people suffering from chronic conditions is also growing, from 44.7% in 1995 to 47.7% in 2015-and expected to rise to over 49% by 2030 [1]. According to the U.S. Centers for Disease Control and Prevention, the vast majority of healthcare costs (86%) are spent on treating and managing chronic disease. Indeed, the medical field today focuses almost entirely on care after illness: modern medicine is largely reactive, waiting until the system fails before taking action. While the field of dentistry has fully embraced regular preventive evaluation and treatment with great success, most other medical fields have yet to do so. Yearly physical evaluations are recommended, but they rely on very limited data collection. As long as there are no symptoms, current standard medical practice largely foregoes testing (laboratory, imaging, etc.) as a screening method to detect disease before it manifests itself.
机译：我们生活在一个信息丰富的时代，通过无处不在的小工具不断收集信息，通过数字和社交网络进行分发，并通过功能越来越强大的分析系统进行深入挖掘。然而，我们最不了解的一件事就是我们的身体。当谈到我们自己的健康时，我们正在盲目驾驶。现代医学显然已经取得了巨大的成功，这一点已由预期寿命的不断增长所证明。例如，上个世纪，美国65岁及65岁以上的人口稳定增长，从1900年的310万增加到2011年的4140万，并且预计到2040年将增长到8000万。慢性病患者的数量（和所占比例）也在增加，从1995年的44.7％增加到2015年的47.7％，预计到2030年将上升到49％以上[1]。根据美国疾病控制与预防中心的数据，绝大多数医疗保健费用（86％）用于治疗和管理慢性病。实际上，当今的医学领域几乎完全集中于生病后的护理：现代医学在很大程度上是反应性的，直到系统出现故障后才采取行动。尽管牙科领域已经完全接受了定期的预防性评估和治疗，并取得了巨大的成功，但大多数其他医学领域尚未这样做。建议每年进行一次物理评估，但是评估仅基于非常有限的数据收集。只要没有症状，当前的标准医学实践就很大程度上放弃了检测（实验室，影像学等）作为在疾病显现之前对其进行检测的筛查方法。

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