Medicine in the early twenty-first century: paradigm and anticipation - EPMA position paper 2016
Open accessAbstract
Challenges of “standardisation” and “individualisation” have always been characteristic for medical services. In terms of individualisation, the best possible individual care is the ethical imperative of medicine, and it is a good right of any patient to receive it. However, in terms of standardisation, all the available treatments are based on guideline recommendations derived from large multi-centre trials with many thousands of patients involved. In the most optimal way, the standardisation and individualisation should go hand-in-hand, in order to identify the right patient treating him/her with the right medication and the right dose at the right time point! Further, in paradigm and anticipation, there is a big discrepancy between “disease care” and “health care” which dramatically impacts ethical and economical aspects of medical services. Several approaches have been suggested in ancient and modern medicine to conduct medical services in a possibly optimal way. What is the difference amongst all of them and how big is the potential beyond corresponding approach to satisfy the needs of the individual, the patient, professional groups involved and society at large? On behalf of the “European Association for Predictive, Preventive and Personalised Medicine,” the dedicated EPMA working group provides a deep analysis in the issue followed by the expert recommendations considering the multifaceted aspects of both “disease care” and “health care” practices including ethics and economy, life quality of individuals and patients, interests of professional groups involved, benefits of subpopulations, health care system(s) and society as a whole.
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Traditional and conventional care is less effective while personalized care is considered the best.
“Therefore, traditional and conventional care is less effective while personalized care is considered the best [68].”
From Development of an artificial intelligence-based tailored mobile intervention for nurse burnout: single-arm trial (2024) · cites this paper as [68]
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- Authors
- Golubnitschaja, O., Baban, B., Boniolo, G., Wang, W., Bubnov, R., Kapalla, M., Krapfenbauer, K., Mozaffari, M. S., & Costigliola, V.
- Affiliations
- University of Bonn (DE)
- Augusta University (US)
- University of Ferrara (IT)
- Edith Cowan University (AU)
- National Academy of Sciences of Ukraine (UA)
- Corresponding author
- Golubnitschaja, Olga
- ORCID
- Venue
- EPMA Journal
- Published
- 2016-10-25
- Volume
- 7
- Issue
- 1
- Pages
- 23-23
- ISSN
- 1878-5077 (ISSN-L)
- 1878-5085
- PMC
- PMC5078893
- OpenAlex
- W2532686299
- Cited by
- 396
- References
- 76
- Citations by year
- 2026: 24 · 2025: 19 · 2024: 40 · 2023: 49 · 2022: 57 · 2021: 31 · 2020: 52 · 2019: 59 · 2018: 33 · 2017: 30 · 2016: 1
- FWCI
- 5.87
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by
- Locations
- The EPMA Journal (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Australasian Journal of Paramedicine (submittedVersion, cc-by)
- Institutional Research Information System University of Ferrara (University of Ferrara) (submittedVersion, cc-by)
- Funders
- World Health Organization
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Medicine, History, and Philosophy
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics and bioethics in healthcare
- Keywords
- predictive medicine, preventive medicine, personalized medicine, standardization of care, medical ethics, health economics, quality of life, patient needs, professional groups, health care system, subpopulations
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