现实世界的证据和个性化医学的未来:数据,道德和公平的全球视角
1Independent Consultant in Real-World Evidence and Health Data Science, London, United Kingdom.
Frontiers in health services
|December 24, 2025
概括
现实世界证据 (RWE) 对个性化医学 (PM) 至关重要,它为各种人群提供了洞察力. 这篇论文概述了RWE的概要.
科学领域:
- 健康 数据科学 数据科学
- 监管科学 监管科学
- 个性化医疗是个性化的医疗.
背景情况:
- 现实世界证据 (RWE) 提供了对现实生活人口干预绩效的细粒度见解.
- 超过30年的健康数据科学和监管经验为探索RWE不断变化的角色提供了信息.
研究的目的:
- 探索RWE在医疗保健提供中的变革性作用,从监管框架到支持AI的患者分层.
- 用现实世界的案例来说明数字工具和数据集成的应用,以加强以患者为中心的护理.
- 为采用RWE,降低风险和全球监管实践提供实际指导和检查清单.
主要方法:
- 对瘤学,眼科和皮肤病学的现实病例分析.
- 制定采用路径概要,风险评估检查清单 (偏见,透明度,协调) 和监管务实性检查清单.
- 整合医疗保健5.0原则,包括物联网可穿戴设备和持续的生活方式数据流.
主要成果:
- 通过案例示例展示了数字工具和数据集成如何增强以患者为中心的护理.
- 建议用于RWE实施的实际工具,包括采用路径,风险减轻策略和监管指导.
- 强调了RWE与以人为本,可持续和有弹性的医疗保健支柱的结合.
结论:
- RWE是监管机构,支付者和临床医生的战略工具,将个性化医疗定位为日常护理.
- 对于负责任的RWE创新和实施,行业,监管机构,支付者和卫生系统都需要承担系统责任.
- 需要在12-24个月内做出可衡量的承诺,以确保个性化医疗服务患者,以科学诚信和同理心为指导.
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