From P0 to P6 medicine, a model of highly participatory, narrative, interactive, and "augmented" medicine: some considerations on Salvatore Iaconesi's clinical story
From P0 to P6 medicine, a model of highly participatory, narrative, interactive, and "augmented" medicine: some considerations on Salvatore Iaconesi's clinical story
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DOI：
10.2147/ppa.s38578
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发表时间：
2013-01-01
影响因子：
2.2
通讯作者：
Bragazzi, Nicola Luigi
中科院分区：
文献类型：
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作者：
Bragazzi, Nicola Luigi
塞尔瓦托·艾科内斯最近被诊断出患有脑瘤。他决定不仅与医生分享他的临床记录，也与所有希望为他找到治愈方法的人分享。“因为治愈不是独一无二的，”他强调，“身体有治愈，心灵有治愈，从画家到音乐家，每个人都能给我找到治愈的方法。请随意拿我的临床病史为例，让它变成一场游戏、一段视频、一段音乐、一幅画，任何你喜欢的。”作为不断变化的时代的标志，塞尔瓦托·艾科内斯的案例是过去几个世纪医学采取了多少深刻革命和步骤的一个例子。源于一种远程医疗家长制，并产生了治疗联盟的概念，今天的医学面临着前所未有的挑战和机遇。讨论了P6医学的新概念(个性化、预测性、预防性、参与性、心理认知性和公共性)及其深刻的含义。
Salvatore Iaconesi was recently diagnosed with a brain tumor. He decided to share his clinical records not only with doctors but with everybody who wishes to find him a cure. "Because cure is not unique," he emphasizes "there are cures for the body and cures for the soul, and everyone, from a painter to a musician, can find me a cure. Please, feel free to take my clinical history for example and let it become a game, a video, a music, a picture, whatever you like." The emblematic hallmark of the changing times, Salvatore Iaconesi's case is an example of how many profound revolutions and steps medicine has undertaken during the past few centuries. Stemming from a form of remote medical paternalism and arriving at the concept of a therapeutic alliance, medicine nowadays faces challenges and opportunities at a level before unforeseeable and unimaginable. The new concept of P6 medicine (personalized, predictive, preventive, participatory, psychocognitive, and public) is discussed, together with its profound implications.