Abstract
This chapter discusses some recent developments in healthcare-related thinking which focus on the possibility or actuality of medicine and care becoming person-centred. These approaches are frequently associated with terms such as telehealth, connected health, individualised medicine, personalised medicine and person-centred medicine (PCM). As a commonality, these new models emphasise the inadequacy of past concepts of care quality and past approaches to care provision and clinical practice, all of which are said to have focused on results being obtained in relation to ‘average’ patients. In this context, contemporary concepts of personalised medicine dovetail with a critique of evidence- based medicine (EBM), which views EBM as ‘incapable of incorporating patient’s values and preferences into clinical decision making when these are in conflict with EBM’s “evidence”’ (Miles and Loughlin, 2011, p. 532; referencing among others Miles, 2009; Sturmberg, 2009; Charlton, 2009; Howick, 2011).
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References
Barrett, B., Marchand, L., Scheder, J., Plane, M. B., Maberry, R., Appelbaum, D., Rakel, D., and Rabago, D., 2003, Themes of holism, empowerment, access, and legitimacy define complementary, alternative, and integrative medicine in relation to conventional biomedicine. Journal of Alternative and Complementary Medicine, 9(6), pp. 937–947.
Bashshur, R. L., 1997, Telemedicine and the health care system, In R. Bashshur, J. H. Sanders, and G.W. Shannon (Eds.), Telemedicine: Theory and practice. Springfield, IL: Charles C. Thomas, pp. 5–33.
Broderick, A., 2013, The Veterans Health Administration: Taking home telehealth services to scale nationally. Case Studies in Telehealth Adoption, Commonwealth Fund pub. 1657, p. 4.
Caulfield, B. M. and Donnelly, S. C., 2013, What is connected health and why will it change your practice? QJM Monthly Journal of the Association of Physicians, 106, pp. 703–707.
Charlton, B. G., 2009, The zombie science of evidence-based medicine: A personal retrospective. Journal of Evaluation in Clinical Practice, 15, pp. 930–934.
Cruickshank, J., 2012, Telehealth: What can the NHS learn from the US Veterans Health Administration. London: 2020health.org.
Currell, R., Urquhart, C., Wainwright, P., and Lewis, R., 2000, Telemedicine versus face to face patient care: Effects on professional practice and health care outcome. Cochrane Database Systematic. Rev. 2, CD002098.
Darkins, A. D., Ryan, P., Kobb, R., Foster, L., Edmonson, E., Wakefield, B., and Lancaster, A. E., 2008, Care Coordination/Home Telehealth: The systematic implementation of health informatics, home telehealth, and disease management to support the care of veteran patients with chronic conditions. Telemedicine and e-Health, 14(10), pp. 1118–1126.
Dormann, H., Neubert, A., Criegee-Rieck, M., Egger, T., Radespiel-Troger, M., Evans, W. E., and Relling, M. V., 2004, Moving towards individualised medicine with pharmacogenomics. Nature, 429, pp. 464–468.
Field, M. J., 1996, Telemedicine: A guide to assessing telecommunications in health care. Washington, DC: National Academy Press.
Galinsky, M. J., Schopler, J. H., and Abell, M. D., 1997, Connecting group members through telephone and computer groups. Health and Social Work, 22, pp. 181–188.
Gammon, D., Sorlie, T., Bergvik, S., and Hoifodt, T. S., 1998, Psychotherapy supervision conducted by videoconferencing: A qualitative study of users’ experiences. Journal of Telemedicine and Telecare, 4(Suppl. 1), pp. 33–35.
Giffords, E. D., 1998, Social work on the Internet: An introduction. Social Work, 43, pp. 243–251.
Hamburg, M. A. and Collins, F. S., 2010, The path to personalized medicine. New England Journal of Medicine, 363(4), pp. 301–304.
HM Government and Association of British Insurers, 2011, Concordat and moratorium on genetics and insurance. London: Department of Health.
Home Care Management Associates, 1998, Home telehealth systems: A guide for home care providers. Springfield, PA: Home Care Management Associates Ltd.
Howick, J., 2011, The philosophy of evidence-based medicine. Oxford: Wiley-Blackwell, British Medical Journal Books.
Hüsing, B., 2010, Individualised medicine — potentials and need for action. Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen, 104, pp. 727–731.
Koch, S., 2006, Home telehealth: Current state and future trends. International Journal of Medical Informatics, 75, pp. 565–576.
Lazarou, J., Pomeranz, B. H., and Corey, P. N., 1998, Incidence of adverse drug reactions in hospitalized patients: A meta-analysis of prospective studies. Journal of the American Medical Association, 279, pp. 1200–1205.
Loughlin, M., 2002, Ethics, management and mythology. Oxford: Radcliffe Medical Press.
McCarty, D. and Clancy, C, 2002, Telehealth: Implications for social work practice. Social Work, 47(2) pp. 153–161.
McLaren, P. and Bell, C. J., 1995, Telemedicine: Lessons remain unheeded. British Medical Journal, 310(6991), pp. 1390–1392.
McLean, S., Protti, D., and Sheikh, A., 2011, Telehealth for long term conditions. British Medical Journal, 342, pp. 374–378.
Miles, A., 2009, Evidence-based medicine: Requiescat in pace? Journal of Evaluation in Clinical Practice, 15, pp. 924–929.
Miles, A. and Loughlin, M., 2011, Models in the balance: Evidence-based medicine versus evidence-informed individualized care. Journal of Evaluation in Clinical Practice, 17, pp. 832–838.
Nyberg, T., Xiong, G., and Loustarinen, J., 2011, Connected health services: Internet, mobile and wireless technologies in health care. Proceedings of the IEEE International Conference on Service Operations, Logistics and Informatics, p. 220–224.
Poon, C. C. Y. and Zhang, Y. T., 2008, Some perspectives on high technologies for low-cost healthcare: Chinese scenario. IEEE Engineering in Medicine and Biology, 27, pp. 42–47.
Rossimori, A., Mercurio, G., and Verbicaro, R., 2012 Enhanced policies on Connected Health are essential to achieve accountable social and health systems. European Journal of ePractice, 15, pp. 4–25.
Schopler, J. H., Abell, M. D., amd Galinsky, M. J., 1998, Technology-based groups: A review and conceptual framework. Social Work, 43(3), pp. 254–267.
Shastry, B. S., 2006, Pharmacogenetics and the concepts of individualized medicine. The Pharmacogenomics Journal, 6, pp. 16–21.
Sood, S., Mbarika, V., Jugoo, S., Dookhy, R., Doarn, C. R., Prakash, N., and Merrel, R. C., 2007, What is telemedicine? A collection of 104 peer-reviewed perspectives and theoretical underpinnings. Telemed Journal and E-Health, 13, pp. 573–590.
Steventon, A., Bardsley, M., Billings, J., Dixon, J., Doll, H., Hirani, S., Cartwright, M., Rixon, L., Knapp, M., Henderson, C., Rogers, A., Fitzpatrick, R., Hendy, J., and Newman, S., 2012, Effect of telehealth on use of secondary care and mortality: Findings from the Whole System Demonstrator cluster randomised trial. British Medical Journal, 344, pp. 1–15.
Sturmberg, J. P., 2009, EBM: A narrow and obsessive methodology that fails to meet the knowledge needs of a complex adaptive clinical world. Journal of Evaluation in Clinical Practice, 15, pp. 917–923.
Whitten and Collins, 1997, The diffusion of telemedicine. Science Communication, 19(1), pp. 21–40.
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© 2014 Sara Melo and Matthias Beck
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Melo, S., Beck, M. (2014). Connected Health, Personalised Medicine and the End of Managerialism?. In: Quality Management and Managerialism in Healthcare. Palgrave Macmillan, London. https://doi.org/10.1057/9781137351999_6
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DOI: https://doi.org/10.1057/9781137351999_6
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