Horgan Denis, Pazzagli Mario
European Alliance for Personalised Medicine, Brussels, Belgium.
University of Florence, Florence, Italy.
Biomed Hub. 2017 Nov 21;2(Suppl 1):180-190. doi: 10.1159/000479492. eCollection 2017 Nov-Dec.
In the EU, the "portrait" of healthcare has undergone many changes down the years, with many adaptations as the EU has evolved. The role of patients has become much more significant as they have gained greater knowledge; there have been giant leaps in innovation, while societal changes and issues (such as the ageing population) have led to different priorities. Today's portrait of healthcare features many perspectives, schools of thought and approaches coming from different stakeholders, different Member States and even different regions within those Member States. One thing that has become very clear is that a one-size-fits-all approach to treatment is outmoded, wasteful and often counterproductive to the health of patients. This includes, in these days of increasing co-morbidities, treating one disease separately, rather than looking at the patient's health issues as a whole. Meanwhile, citizens are being bombarded with often contradictory messages regarding what is "good" or "bad" for them, often in a patronising manner, while the realities of extremely effective preventative measures are often obscured, with a lack of emphasis on screening and early diagnosis. The authors argue that, among other matters, better communication and education are key to improving healthcare in Europe.
在欧盟,多年来医疗保健的“面貌”发生了许多变化,随着欧盟的发展进行了诸多调整。随着患者知识水平的提高,他们的作用变得更加重要;创新取得了巨大飞跃,而社会变革和问题(如人口老龄化)导致了不同的优先事项。如今医疗保健的面貌呈现出许多来自不同利益相关者、不同成员国甚至这些成员国不同地区的观点、思想流派和方法。有一点已经非常明确,即一刀切的治疗方法已过时、浪费,而且往往对患者的健康产生适得其反的效果。在如今共病情况日益增多的情况下,这包括单独治疗一种疾病,而不是将患者的健康问题作为一个整体来看待。与此同时,公民们经常受到关于什么对他们“好”或“坏”的相互矛盾的信息轰炸,而且往往是以一种居高临下的方式,而极其有效的预防措施的实际情况却常常被掩盖,缺乏对筛查和早期诊断的重视。作者认为,除其他事项外,更好的沟通和教育是改善欧洲医疗保健的关键。