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
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
收藏
页码:1150 / 1164
页数:15
相关论文
共 158 条
[21]   Analytical and clinical validation of a microbial cell-free DNA sequencing test for infectious disease [J].
Blauwkamp, Timothy A. ;
Thair, Simone ;
Rosen, Michael J. ;
Blair, Lily ;
Lindner, Martin S. ;
Vilfan, Igor D. ;
Kawli, Trupti ;
Christians, Fred C. ;
Venkatasubrahmanyam, Shivkumar ;
Wall, Gregory D. ;
Cheung, Anita ;
Rogers, Zoe N. ;
Meshulam-Simon, Galit ;
Huijse, Liza ;
Balakrishnan, Sanjeev ;
Quinn, James, V ;
Hollemon, Desiree ;
Hong, David K. ;
Vaughn, Marla Lay ;
Kertesz, Mickey ;
Bercovici, Sivan ;
Wilber, Judith C. ;
Yang, Samuel .
NATURE MICROBIOLOGY, 2019, 4 (04) :663-674
[22]   How The Health And Community Development Sectors Are Combining Forces To Improve Health And Well-Being [J].
Braunstein, Sandra ;
Lavizzo-Mourey, Risa .
HEALTH AFFAIRS, 2011, 30 (11) :2042-2051
[23]   Should I stay or should I go? An exploration of the decision-making behavior of acute cardiac patients during the COVID-19 pandemic [J].
Burton, S. ;
Hayes, J. A. ;
Morrell-Scott, N. ;
Sanders, J. ;
Walthall, H. ;
Wright, D. J. ;
Jones, I. D. .
HEART & LUNG, 2022, 52 :16-21
[24]   Machine learning can support dispatchers to better and faster recognize out-of-hospital cardiac arrest during emergency calls: A retrospective study [J].
Byrsell, Fredrik ;
Claesson, Andreas ;
Ringh, Mattias ;
Svensson, Leif ;
Jonsson, Martin ;
Nordberg, Per ;
Forsberg, Sune ;
Hollenberg, Jacob ;
Nord, Anette .
RESUSCITATION, 2021, 162 :218-226
[25]   Using Aggregate Patient Data at the Bedside via an On-Demand Consultation Service [J].
Callahan, Alison ;
Gombar, Saurabh ;
Cahan, Eli M. ;
Jung, Kenneth ;
Steinberg, Ethan ;
Polony, Vladimir ;
Morse, Keith ;
Tibshirani, Robert ;
Hastie, Trevor ;
Harrington, Robert ;
Shah, Nigam H. .
NEJM CATALYST INNOVATIONS IN CARE DELIVERY, 2021, 2 (10)
[26]   Characteristics associated with patient delay during the management of ST-segment elevated myocardial infarction, and the influence of awareness campaigns [J].
Caltabellotta, Thibaut ;
Magne, Julien ;
Salerno, Baptiste ;
Pradel, Valerie ;
Petitcolin, Pierre-Bernard ;
Auzemery, Gilles ;
Virot, Patrice ;
Aboyans, Victor .
ARCHIVES OF CARDIOVASCULAR DISEASES, 2021, 114 (04) :305-315
[27]   A Sensor-Based mHealth Platform for Remote Monitoring and Intervention of Frailty Patients at Home [J].
Calvillo-Arbizu, Jorge ;
Naranjo-Hernandez, David ;
Barbarov-Rostan, Gerardo ;
Talaminos-Barroso, Alejandro ;
Roa-Romero, Laura M. ;
Reina-Tosina, Javier .
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 2021, 18 (21)
[28]   Disparities in access to trauma care in the United States: A population-based analysis [J].
Carr, Brendan G. ;
Bowman, Ariel J. ;
Wolff, Catherine S. ;
Mullen, Michael T. ;
Holena, Daniel N. ;
Branas, Charles C. ;
Wiebe, Douglas J. .
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2017, 48 (02) :332-338
[29]   Access to Emergency Care in the United States [J].
Carr, Brendan G. ;
Branas, Charles C. ;
Metlay, Joshua P. ;
Sullivan, Ashley F. ;
Camargo, Carlos A., Jr. .
ANNALS OF EMERGENCY MEDICINE, 2009, 54 (02) :261-269
[30]   Convergence of Implementation Science, Precision Medicine, and the Learning Health Care System A New Model for Biomedical Research [J].
Chambers, David A. ;
Feero, W. Gregory ;
Khoury, Muin J. .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2016, 315 (18) :1941-1942