当患者掌握海量医疗信息后，医疗实践将“本末倒置”？

2015-07-11 时占祥 MedSci原创

导语：如果有一天，你在诊室中看病时，患者拿着移动设备告诉你，他的血压，血糖，血脂监测结果，他的遗传基因组的结果，以及可能提示哪些疾病风险，哪些药物可能更合适......，面对患者掌握的海量医疗信息，你作为医生，你如何面对？你是被患者指挥，还是指挥患者？上面是MedSci小编设想的场景，这看似一个假想，其实可能很快就会到来！作为医生，未来可能不得不面对这种情景！届时医疗实践会本末倒置，不是医生看病人

导语：

如果有一天，你在诊室中看病时，患者拿着移动设备告诉你，他的血压，血糖，血脂监测结果，他的遗传基因组的结果，以及可能提示哪些疾病风险，哪些药物可能更合适......，面对患者掌握的海量医疗信息，你作为医生，你如何面对？你是被患者指挥，还是指挥患者？

上面是MedSci小编设想的场景，这看似一个假想，其实可能很快就会到来！作为医生，未来可能不得不面对这种情景！届时医疗实践会本末倒置，不是医生看病人，还是病人看医生了？

《颠覆医疗》作者、著名心脏病专家Eric Topol博士再著新书《患者看医生：掌握自己的未来医疗》(The Patient Will See You Now)。归纳该书核心思想是“由于现代科技的拓展应用，包括智能手机、智能App和可穿戴配件等完备了个人健康管理和疾病监测功能，医疗实践的基本模式将被彻底改变,即从医生教条经验和家长式说教医嘱中脱离出来，而赋予每个人更大的“民主和自由”掌握健康和疾病状况”。每个人都可以应用手中成熟科技了解自己的健康数据，也可以通过计算机集成大数据知晓疾病诊断，甚至预测可能的疾病而及时预防。除了受到经典医疗实践的强大挑战，完全依赖于数字化信息和先进科技也存在着暴露个人隐私的可能风险。但是，这种未来医疗实践模式将为所有人展现出更加真实的、人性化的健康管理，更加经济可承受的医疗服务模式。就是说“我的信息我掌握，我的健康我参与管理”。

（Topol博士在美国国家电视台采访时展示智能手机监测心电图像）

Eric Topol博士曾是著名克利夫兰医学中心心脏疾病中心主任，在美国医学界，他以敢言创新和标新立异而著称。对于他的真实灼见，同行评议褒贬不一，各表其理。首先，以科技创新和患者为中心的医疗实践模式必然会变革几百年来积累的近代西方医学实践经验和公共卫生预防机制。Topol博士作为践行传统医疗模式的专家，他的乐观和叛逆精神，特别是对于信息化技术和个性化人本主义的深刻理解达到了崇高境界。对于那些无助的患者来讲，他的观点无疑是一剂“强心剂”，他告之如果每个人都掌握着自己的医疗数据和健康信息，完全可以通过成熟的科技来自我评估，并选择最佳治疗方案。至少使自己成为医生治疗自己疾病的共同合作者，而不再是被动的患者了。更直接了当地诠释就是：自己的血液、自己的DNA、自己支付医疗费用，难道那些信息和数据不属于我自己吗？他在试图描述如何每个人都掌握了自己的健康和医疗信息，医疗实践模式将如何改变或真的被彻底颠覆了。

应当讲,这种所谓超前意识和革新性医疗实践就在眼前了!不需要再等30年了,但医学实践仍然是需要专业医生的。

（未来医院模式：你的卧室就是你的家庭病床; 远程监测；降低费用减少交叉感染；ICU和外科手术室仍然是必备的)

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2015-07-13 owlhealth

呵呵

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2015-07-13 docwu2019

#医疗信息#

75 0
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2015-07-12 文刀

那还要医生干嘛

129 0
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2015-07-12 huaxipanxing

看看

122 0
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2015-07-12 zm0805

哦

146 0
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2015-07-12 zhouanxiu

未来的发展趋势

180 0
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2015-07-11 drhqh240

患者自己给自己看病就行了

121 0
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2015-07-11 保守主义

有意思

167 0
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2015-07-11 保守主义

有启发意义

157 0
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2015-07-11 Jianghuiqin

这种情况还早吧~之前在中国,连基础教育还没有完全普及好~

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