Berlin Richard, Gruen Russell, Best James
Department of Computer Science, University of Illinois, Urbana, IL USA.
Nanyang Institute of Technology in Health and Medicine, Department of Surgery, Lee Kong Chian School of Medicine, Singapore, Singapore.
J Healthc Inform Res. 2017;1(1):119-137. doi: 10.1007/s41666-017-0002-9. Epub 2017 May 10.
This paper presents a brief history of Systems Theory, progresses to Systems Biology, and its relation to the more traditional investigative method of reductionism. The emergence of Systems Medicine represents the application of Systems Biology to disease and clinical issues. The challenges faced by this transition from Systems Biology to Systems Medicine are explained; the requirements of physicians at the bedside, caring for patients, as well as the place of human-human interaction and the needs of the patients are addressed. An organ-focused transition to Systems Medicine, rather than a genomic-, molecular-, or cell-based effort is emphasized. Organ focus represents a middle-out approach to ease this transition and to maximize the benefits of scientific discovery and clinical application. This method manages the perceptions of time and space, the massive amounts of human- and patient-related data, and the ensuing complexity of information.
本文介绍了系统理论的简史,进而阐述了系统生物学及其与更为传统的还原论研究方法的关系。系统医学的出现代表了系统生物学在疾病和临床问题上的应用。文中解释了从系统生物学向系统医学转变所面临的挑战;探讨了床边医生照顾患者时的要求,以及人际互动的作用和患者的需求。强调了向系统医学的转变应以器官为重点,而非基于基因组、分子或细胞的研究。以器官为重点代表了一种中间向外的方法,以促进这种转变,并使科学发现和临床应用的效益最大化。这种方法能够处理对时间和空间的认知、大量与人和患者相关的数据,以及随之而来的信息复杂性。