Precision emergency medicine

被引：0

作者：

Strehlow, Matthew ^{[1
]}

Alvarez, Al'ai ^{[1
]}

Blomkalns, Andra L. ^{[1
]}

Caretta-Wyer, Holly ^{[1
]}

Gharahbaghian, Laleh ^{[1
]}

Imler, Daniel ^{[1
]}

Khan, Ayesha ^{[1
]}

Lee, Moon ^{[1
]}

Lobo, Viveta ^{[1
]}

Newberry, Jennifer A. ^{[1
]}

Riberia, Ryan ^{[1
]}

Sebok-Syer, Stefanie ^{[1
]}

Shen, Sam ^{[1
]}

Gisondi, Michael A. ^{[1
]}

机构：

[1] Stanford Univ, Sch Med, Dept Emergency Med, 900 Welch Rd,Ste 350, Stanford, CA 94305 USA

来源：

ACADEMIC EMERGENCY MEDICINE | 2024年 / 31卷 / 11期

基金：

美国医疗保健研究与质量局;

关键词：

ACUTE ISCHEMIC-STROKE; HEALTH-CARE; MYOCARDIAL-INFARCTION; SOCIAL DETERMINANTS; ELECTRONIC TRIAGE; DECISION-MAKING; IMPROVE HEALTH; OUTCOMES; SYSTEM; IMPLEMENTATION;

D O I：

10.1111/acem.14962

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

BackgroundPrecision health is a burgeoning scientific discipline that aims to incorporate individual variability in biological, behavioral, and social factors to develop personalized health solutions. To date, emergency medicine has not deeply engaged in the precision health movement. However, rapid advances in health technology, data science, and medical informatics offer new opportunities for emergency medicine to realize the promises of precision health.MethodsIn this article, we conceptualize precision emergency medicine as an emerging paradigm and identify key drivers of its implementation into current and future clinical practice. We acknowledge important obstacles to the specialty-wide adoption of precision emergency medicine and offer solutions that conceive a successful path forward.ResultsPrecision emergency medicine is defined as the use of information and technology to deliver acute care effectively, efficiently, and authentically to individual patients and their communities. Key drivers and opportunities include leveraging human data, capitalizing on technology and digital tools, providing deliberate access to care, advancing population health, and reimagining provider education and roles. Overcoming challenges in equity, privacy, and cost is essential for success. We close with a call to action to proactively incorporate precision health into the clinical practice of emergency medicine, the training of future emergency physicians, and the research agenda of the specialty.ConclusionsPrecision emergency medicine leverages new technology and data-driven artificial intelligence to advance diagnostic testing, individualize patient care plans and therapeutics, and strategically refine the convergence of the health system and the community.

引用

页码：1150 / 1164

页数：15

共 158 条

[1] Global, national, and urban burdens of paediatric asthma incidence attributable to ambient NO2 pollution: estimates from global datasets [J].

Achakulwisut, Pattanun ;

Brauer, Michael ;

Hystad, Perry ;

Anenberg, Susan C. .

LANCET PLANETARY HEALTH, 2019, 3 (04) :E166-E178

[2] Aligning emergency care with the triple aim: Opportunities and future directions after healthcare reform [J].

Agrawal, Shantanu ;

Conway, Patrick H. .

HEALTHCARE-THE JOURNAL OF DELIVERY SCIENCE AND INNOVATION, 2014, 2 (03) :184-189

[3] The Role of the US Trauma Centers in Older Adult Fall Prevention: A National Survey [J].

Allee, Lisa ;

Faul, Mark ;

Guntipalli, Prathima ;

Burke, Peter A. ;

Rao, Sowmya R. ;

Reed, Donald N., Jr. ;

Gross, Ronald ;

Duncan, Thomas K. ;

Palmieri, Tina L. ;

Cooper, Zara ;

Bulger, Eileen M. ;

Stewart, Ronald M. ;

Kuhls, Deborah A. .

AMERICAN SURGEON, 2023, 89 (04) :968-974

[4] Associations between outdoor air pollutants and non-viral asthma exacerbations and airway inflammatory responses in children and adolescents living in urban areas in the USA: a retrospective secondary analysis [J].

Altman, Matthew C. ;

Kattan, Meyer ;

O'Connor, George ;

Murphy, Ryan C. ;

Whalen, Elizabeth ;

LeBeau, Petra ;

Calatroni, Agustin ;

Gill, Michelle A. ;

Gruchalla, Rebecca S. ;

Liu, Andrew H. ;

Lovinsky-Desir, Stephanie ;

Pongracic, Jacqueline A. ;

Kercsmar, Carolyn M. ;

Hershey, Gurjit K. Khurana ;

Zoratti, Edward M. ;

Teach, Stephen J. ;

Bacharier, Leonard B. ;

Wheatley, Lisa M. ;

Sigelman, Steve M. ;

Gergen, Peter J. ;

Togias, Alkis ;

Busse, William W. ;

Gern, James E. ;

Jackson, Daniel J. .

LANCET PLANETARY HEALTH, 2023, 7 (01) :E33-E44

[5]

An Open Letter To ARPAH Designers, 5 GUIDING PRINCIPLES, DOI [10.1377/forefront.20211124.827706/full/, DOI 10.1377/FOREFRONT.20211124.827706/FULL]

[6] Social Emergency Medicine: Embracing the Dual Role of the Emergency Department in Acute Care and Population Health [J].

Anderson, Erik S. ;

Hsieh, Dennis ;

Alter, Harrison J. .

ANNALS OF EMERGENCY MEDICINE, 2016, 68 (01) :21-25

[7] Microbial Typing by Machine Learned DNA Melt Signatures [J].

Andini, Nadya ;

Wang, Bo ;

Athamanolap, Pornpat ;

Hardick, Justin ;

Masek, Billie J. ;

Thair, Simone ;

Hu, Anne ;

Avornu, Gideon ;

Peterson, Stephen ;

Cogill, Steven ;

Rothman, Richard E. ;

Carroll, Karen C. ;

Gaydos, Charlotte A. ;

Wang, Jeff Tza-Huei ;

Batzoglou, Serafim ;

Yang, Samuel .

SCIENTIFIC REPORTS, 2017, 7

[8]

[Anonymous], The all of us research program

[9]

[Anonymous], WIPO IP Statistics Data Center Internet

[10]

[Anonymous], 2011, Toward Precision Medicine: Building a Knowledge Network for Biomedical Research and a New Taxonomy of Disease, The National Academies Collection: Reports funded by National Institutes of Health

← 1 2 3 4 5 6 7 8 9 10 →