改善诊断的全球进展:我们学到了什么,接下来会发生什么
Taro Shimizu1, Wolf E Hautz2, Charlotte van Sassen3,4
1Department of Diagnostic and Generalist Medicine, Dokkyo Medical University, Tochigi, Japan.
Diagnosis (Berlin, Germany)
|September 18, 2025
概括
自2015年以来,全球对诊断安全的认识有所增加,但进展不均,特别是在低收入和中等收入国家 (LMICs). 未来的努力必须集中在研究,教育,实践,患者参与以及到2035年制定更安全诊断的政策上.
科学领域:
- 医疗保健的质量和安全.
- 医学诊断 医学诊断 医学诊断
- 卫生政策 卫生政策
背景情况:
- 自2015年国家科学院报告以来,全球对诊断安全的认识显著增长.
- 高收入国家通过研究网络,会议和教育计划取得了明显的进步.
- 澳大利亚,新西兰,欧洲和日本的倡议已经推出了先进的诊断安全工具,研究和AI应用.
研究的目的:
- 审查自2015年以来诊断安全方面的全球进展.
- 确定参与方面的差异,特别是来自低收入和中等收入国家 (LMICs) 的有限数据.
- 为改善诊断安全提出一个连贯,可持续的全球战略.
主要方法:
- 审查国际倡议和诊断安全方面的进展.
- 分析阻碍进步的障碍,包括LMICs的资源限制和基础设施限制.
- 确定未来进步的关键领域:研究,教育,实践改进,患者参与和政策.
主要成果:
- 高收入国家在诊断安全方面取得了重大进展,包括报告系统,教育资源和基于AI的支持.
- 对有限数据的全球参与不均,以及将创新转移到LMICs的挑战.
- 主要建议包括建立错误数据库,在代表性不足的环境中促进研究,扩大课程,并整合患者的观点.
结论:
- 诊断安全的未来进展需要在五个关键领域制定明确的目标.
- 国际合作,情境敏感的方法和强有力的治理对于公平的改善至关重要.
- 需要一个统一的全球战略,到2035年实现更安全,更可靠的诊断.
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