Medical need more macro thinking

The 2016-11-08

Source: health

- more than transport west -

Held in November 5, medicine and the humanities peak BBS, vice chairman of the CPPCC national committee, member of Chinese academy of sciences, han qide, points out that a lot of research at home and abroad and statistics show that in the field of cancer prevention and control, the role of "early discovery and treatment" may be overrated, should not be advocated universal cancer screening strategy, at the same time should be for chronic disease prevention and control technology such as tumor strategy and technology policy to conduct a comprehensive reflection.

As a new medical technology, through genetic testing, such as CT, colour to exceed to realize some chronic diseases, including cancer, early found early treatment, has made a lot of patients achieve good prognosis. Early detection treated early become key for prevention and control of chronic diseases, there is no doubt its progressive significance. Standing in the point of view of social, however, the doctor for fear of missing the misdiagnosis to huge responsibility, to reduce the risk, excessive screening or diagnostic situation does exist; Screening for patients and their families and damage, cost, risk, concern and sometimes may counteract the positive significance of screening. In this case, the han qide considerable impact point of view, and is certainly worth people to think twice.

Medicine is an imperfect subject, as well as continuous development of the discipline. On the one hand, medical technology every progress need to be tested in practice, negate or comprehensive promotion, maximize its effect is difficult to achieve. On the other hand, with the progress of medical technology, people can see the modern medicine's role is more and more big, many patients and their families for medicine that is too high, or even "subject to" part of a doctor, accommodation and encourage this trend. Universal cancer screening is in an era of everyone talking about cancer color distortion, catered to the trend.

In fact, the population screening of large area like "the wide net" regardless of circumstance, can catch a few fish is hard to say, the cost and benefit than is surprisingly large. And more targeted cancer screening, can help the high risk population to achieve early detection treated early, also can avoid unnecessary damage and burden. It should be said that in the information age, has not difficult to do targeted population screening. Big data applications in the field of health care has been taking shape, large number of patients in our country become more noticeable advantage. A screening effect, which is more suitable for the crowd, what might be the risk - benefit than... These problems can be in objective and valuable data, to find a convincing answer.

Personal lives of millions of patients with medical relations, involving national macro policy, not only rapid advances in technology lead all the way, human society still need to constantly look. To grasp the macro, micro technology related to industrial development, the social ethics, economic benefits, public literacy and social psychology, and other dimensions. Especially in the rapid development of medical science and technology and market under the wave impact pressure, particularly for the objective rationality, adjust the position of the modern medicine, standing on a higher place look at the limitations of medicine and purpose, realize from the biological medical model to biological, social, psychological paradigm shift.