BMC Med Inform Decis Mak - Patient-centered medicine and patient-oriented research: improving health outcomes for individual patients.

Tópicos

{ research(1218) medic(880) student(794) }
{ record(1888) medic(1808) patient(1693) }
{ take(945) account(800) differ(722) }
{ clinic(1479) use(1117) guidelin(835) }
{ research(1085) discuss(1038) issu(1018) }
{ intervent(3218) particip(2042) group(1664) }
{ featur(1941) imag(1645) propos(1176) }
{ cost(1906) reduc(1198) effect(832) }
{ drug(1928) target(777) effect(648) }
{ decis(3086) make(1611) patient(1517) }
{ activ(1452) weight(1219) physic(1104) }
{ inform(2794) health(2639) internet(1427) }
{ measur(2081) correl(1212) valu(896) }
{ concept(1167) ontolog(924) domain(897) }
{ health(3367) inform(1360) care(1135) }
{ first(2504) two(1366) second(1323) }
{ detect(2391) sensit(1101) algorithm(908) }
{ studi(2440) review(1878) systemat(933) }
{ assess(1506) score(1403) qualiti(1306) }
{ treatment(1704) effect(941) patient(846) }
{ chang(1828) time(1643) increas(1301) }
{ studi(1410) differ(1259) use(1210) }
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{ perform(1367) use(1326) method(1137) }
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{ spatial(1525) area(1432) region(1030) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ state(1844) use(1261) util(961) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
{ medic(1828) order(1363) alert(1069) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ time(1939) patient(1703) rate(768) }
{ patient(1821) servic(1111) care(1106) }
{ use(2086) technolog(871) perceiv(783) }
{ analysi(2126) use(1163) compon(1037) }
{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
{ result(1111) use(1088) new(759) }
{ implement(1333) system(1263) develop(1122) }
{ estim(2440) model(1874) function(577) }
{ process(1125) use(805) approach(778) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }

Resumo

CKGROUND: Patient-centered medicine is developing alongside the concepts of personalized medicine and tailored therapeutics. The main objective of patient-centered medicine is to improve health outcomes of individual patients in everyday clinical practice, taking into account the patient's objectives, preferences, values as well as the available economic resources.DISCUSSION: Patient-centered medicine implies a paradigm shift in the relationship between doctors and patients, but also requires the development of patient-oriented research. Patient-oriented research should not be based on the evaluation of medical interventions in the average patient, but on the identification of the best intervention for every individual patient, the study of heterogeneity and the assignment of greater value to observations and exceptions. The development of information-based technologies can help to close the gap between clinical research and clinical practice, a fundamental step for any advance in this field.SUMMARY: Evidence-based medicine and patient centered medicine are not contradictory but complementary movements. It is not possible to practice patient-centered medicine that is not based on evidence, nor is it possible to practice evidence-based medicine at a distance from the individual patient.

Resumo Limpo

ckground patientcent medicin develop alongsid concept person medicin tailor therapeut main object patientcent medicin improv health outcom individu patient everyday clinic practic take account patient object prefer valu well avail econom resourcesdiscuss patientcent medicin impli paradigm shift relationship doctor patient also requir develop patientori research patientori research base evalu medic intervent averag patient identif best intervent everi individu patient studi heterogen assign greater valu observ except develop informationbas technolog can help close gap clinic research clinic practic fundament step advanc fieldsummari evidencebas medicin patient center medicin contradictori complementari movement possibl practic patientcent medicin base evid possibl practic evidencebas medicin distanc individu patient

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