从精确管理的角度来定量多病症:挑战和策略
Xinyi Huang1,2, Xiangyun Guo3, Yiwen Gan3
1Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing, China.
Annals of medicine
|October 8, 2025
概括
标准化多病症的定义和测量对于识别风险人群和推进精确医疗保健至关重要. 本次审查强调了挑战,并提出了改善多病症量化和管理的解决方案.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 临床医学 临床医学
背景情况:
- 由于人口老龄化,全球医疗保健系统面临着越来越多的多病症挑战.
- 缺乏关于多病症定义和测量的共识,阻碍了研究进展.
- 标准化对于识别高风险群体,改进干预措施以及确保精度管理的研究一致性至关重要.
研究的目的:
- 审查多病症的定义和测量,将其与脆弱性和残疾区分开来.
- 提供临床多病症评估工具的概述.
- 检查量化多病症的挑战,并提出精确管理的解决方案.
主要方法:
- 2011-2024年研究的综合文献综述.
- 在Web of Science,PubMed,CNKI和WanFang数据库中进行的搜索.
- 关键词侧重于多病症和并发症到2024年9月.
主要成果:
- 复杂性疾病的定义及其与脆弱性/残疾的区别进行了审查.
- 综述了广泛使用的多病症临床评估工具.
- 确定了关键的量化挑战,包括需要人口特异模型,风险因素的整合,疾病相互作用的分析和医疗保健系统的整合.
结论:
- 开发特定人口的量化模型和整合可修改的风险因素对于精确管理至关重要.
- 分析疾病相互作用对于理解疾病进展和不良结果至关重要.
- 将多病症量化无整合到医疗保健信息系统中是必要的,以优化个性化管理和改善治疗结果.
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