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• W2111989898 abstract "Healthcare is undergoing a profound revolution as a consequence of three contemporary thrusts: systems medicine [1-4], big data and patient involvement in their own health through social networks. This convergence is leading to a medicine that is predictive, preventive, personalized and participatory (P4) [4-7]. The first three Ps, predictive, preventive and personalized, were delineated in the early 2000s [1,2], whereas the fourth P, participatory, was added later. To achieve a participatory healthcare system, major technical and societal challenges will need to be overcome, and this will require close integration with systems medicine and big data. Before commenting further on participatory medicine, let us first delineate the essence of systems medicine and big data and their implications for P4 medicine.Systems medicine, the application of systems biology approaches to disease [3,4,6,8,9], is already changing how healthcare is practiced (Table 1). We predict that in 5 to 10 years each patient will be surrounded by a virtual cloud of billions of data points - molecular, clinical chemistries, cellular, organ, phenotypic, imaging, social networks, and so on. We also predict that we will have the analytical tools to reduce this big data cloud to simple models that will guide improvements in health and minimize disease. This requires addressing two grand challenges: the signal-to-noise issues intrinsic to big data and integration of multi-scale data into predictive models.Table 1How systems medicine is transforming healthcareIn addition, for each individual patient we foresee that we will be able to integrate an individual’s genetic, molecular, cellular, organ and social networks into an overall 'network of networks’ [10]. Disease leads to the perturbation of the network of networks and this alters the information the network manages. The availability of a personal data cloud will allow one to characterize an individual’s network of networks in its normal or disease-perturbed states. This altered, disease-perturbed information will provide deep insights into disease mechanisms, new approaches to diagnostics and therapeutics, and a platform for participatory medicine." @default.
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• W2111989898 date "2013-01-01" @default.
• W2111989898 modified "2023-09-30" @default.
• W2111989898 title "Participatory medicine: a driving force for revolutionizing healthcare" @default.
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• W2111989898 doi "https://doi.org/10.1186/gm514" @default.
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