Methodology of paradigm shift towards personalized medicine

Since evidence-based medicine scarcely considers the preferences of patients in intricate situations, the misinterpretation(s) coming from the sheer Heterogeneity of Treatment Effects-misappropriation (or, say, -maladjustment) acts as a barrier to the personalized medicine that is badly needed whenever the heterogeneity of treatment crops up even more grossly. It is for this reason that the evidence that Evidence Based Medicine harms the patients less than interventions based on other philosophical schools seems scant.Person-Centered Care (PCC) is a new entity, concerned about patient as a person not as a medical case. In PCC, the person substituting the patient has to be adapted to imposed conditions by medical settings, but he/she has the right to participate in the medical decisions by bringing up his/her own preferences to the clinician. It must not be confused with the term of personalized medicine that concerns genotypic or phenotypic characteristics of the patients in designing a medical plan. PCC cares about the person who is a human being with own feelings, needs and values, all earned throughout the lifetime. For instance, Ekman et al found that using a full PCC program could shorten the duration of hospitalization in the patients with congestive heart failure. Along with other causes prompting patients to intentionally prefer Complementary and Alternative Medicine could be the fairly famous three Ts that a complementary therapist has the capacity to offer: Time, Talk, and Touch.

کلیدواژه ها:

Personalized Medicine ، Paradigm Shift ، Person-Centered Care ، Complementary and Alternative Medicine