Patient-Centered Care: Making the Modern Hospital Truly Modern
The innovative concept of predictive, preventive, and personalized medicine (PPPM) was presented in detail in the chapter on wound healing. This chapter incorporates PPPM into the evolutionary framework of the modern hospital. The example of diabetes illustrates the disastrous consequences – both medical and economical – of reactive “disease care” rather than proactive “healthcare.” Implementing PPPM into the modern hospital requires dedication to both long-term planning (e.g., infrastructure such as novel information technology (IT) and cutting-edge clinically relevant biomedical research) and daily implementation and updating of programs designed to optimize personalized patient care. Healthcare system-wide themes for the future include international biobanking, multiomics, big data collection and analysis, and machine learning (with multilevel neural networks). At the level of hospital organization, it is essential to shift from reactive “administering” (i.e., meeting goals that often address symptoms rather than causes or that are motivated by short-term financial gain – “maximize profit this quarter”) to proactive “managing” (i.e., utilizing all the resources at hand – financial, infrastructure, personnel, research – to optimize patient outcomes in the long run). Progressive and innovative hospitals in the past have required multidisciplinary collaboration among innovative leaders – both managerial and medical – who have complementary backgrounds, as well as a working environment that recognizes and supports “team players” who value long-term hospital progress over immediate personal prestige or financial gain. Finally, as the modern hospital becomes more digital and cloud-based, the need to address proactively rather than reactively the threat of system hacking and “crashes” – such as the “WannaCry” ransomware worm that affected the National Health System in the United Kingdom in May 2017 – cannot be ignored. We may not have a “planet B,” but the modern hospital must have a “plan B.”
KeywordsBiomarker panels Ethics Hospital administration Medical economics Multilevel diagnostics Predictive preventive personalized medicine
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