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. 2013 May 10;4(1):12.
doi: 10.1186/1878-5085-4-12.

Position paper of the EPMA and EFLM: a global vision of the consolidated promotion of an integrative medical approach to advance health care

Olga Golubnitschaja #  1 , Ian D Watson #  2 , Elizabeta Topic  2 , Sverre Sandberg  2 , Maurizio Ferrari  1   2   3 , Vincenzo Costigliola  1   4
Affiliations

Position paper of the EPMA and EFLM: a global vision of the consolidated promotion of an integrative medical approach to advance health care

Olga Golubnitschaja et al. EPMA J. .

Abstract

The authors consider acute problems in the quality and management of medical services challenging health care systems worldwide. This actuality has motivated the representatives of the European Association for Predictive, Preventive and Personalised Medicine and European Federation of Clinical Chemistry and Laboratory Medicine to consider the efforts in promoting an integrative approach based on multidisciplinary expertise to advance health care. The current paper provides a global overview of the problems related to medical services: pandemic scenario in the progression of common chronic diseases, delayed interventional approaches of reactive medicine, poor economy of health care systems, lack of specialised educational programmes, problematic ethical aspects of treatments as well as inadequate communication among professional groups and policymakers. Further, in the form of individual paragraphs, the article presents a consolidated position of the represented European organisations. This position is focused on the patients' needs, expert recommendations for the relevant medical fields and plausible solutions which have a potential to advance health care services if the long-term strategies were to be effectively implemented as proposed here.

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Figures

Figure 1
Figure 1
Current health care approach (A) versus advanced health care approach (B). The advanced health care approach considers a paradigm change from delayed interventional to predictive, preventive and personalised medicine as the robust platform for optimal medical services; figure is taken from [1].
Figure 2
Figure 2
Worldwide prognosis of the pandemic increase in the incidence of the T2DM. (*) Estimations as published around the year 2000. (**) Worsening prognosis as published in 2003–2008. Current prognosis is marked in red colour; data taken from [3].
Figure 3
Figure 3
R&D expenditure versus new molecular targets as observed in industrial developments in 1997–2007 [20]. NME, new molecule entity.
See this image and copyright information in PMC

References

    1. Costigliola V, Gahan P, Golubnitschaja O. In: Predictive diagnostics and personalized treatment: Dream or Reality. Golubnitschaja O, editor. New York: Nova Science Publishers; 2009. Predictive medicine as the new philosophy in health care; pp. 1–3.
    1. Golubnitschaja O, Yeghiazaryan K, Costigliola V, Trog D, Braun M, Debald M, Kuhn W, Schild HH. Risk assessment, disease prevention and personalised treatments in breast cancer: is clinically qualified integrative approach in the horizon? EPMA J. 2013;4(1):6. - PMC - PubMed
    1. Golubnitschaja O. In: New Strategies to Advance Pre/Diabetes Care: Integrative Approach by PPPM. Mozaffari M, Golubnitschaja O, editor. London: Springer; 2013. Three levels of prediction, prevention and individualised treatment algorithms to advance diabetes care: integrative approach; pp. 15–28. [Golubnitschaja O (Series Editor): Advances in Predictive, Preventive and Personalised Medicine, vol 3.]
    1. Golubnitschaja O. Clinical proteomics in application to predictive diagnostics and personalized treatment of diabetic patients. Current Proteomics. 2008;5:35–44.
    1. Golubnitschaja O, Jaksche A, Moenkemann H, Yeghiazaryan K, Karl SE, Schild HH, Löffler KU. Molecular imaging system for possible prediction of active retinopathy in patients with diabetes mellitus. Amino Acids. 2005;28:229–237. - PubMed

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