Abstracts by keywords: New disease taxonomy
It has been known since the Middle Ages that sufficient exercise and sleep, a balanced diet, little alcohol and appropriate handling of stress protect health. This traditional prevention quintet, supplemented by nicotine abstinence to form a sextet and better implemented through the development of a “preventive self” in the 20th century, needs to be expanded to include a dimension: stratified prevention. In particular, the findings based on large biomedical data sets and physiological measurements in everyday life will in the near future make it possible to assess individual health risks more precisely than before and to develop more precise prevention strategies. The immense opportunities of this development, which enables a more targeted, effective and less risky prevention of diseases, are offset by legitimate concerns and considerable dangers when faced with a “transparent person”, with problems of equal opportunities or with what is medically sensible for most people, but in individual cases endangering health Measures should be warned. This article summarizes the discussions at an interdisciplinary conference in Augsburg with the participation of cardiologists, epidemiologists, lawyers, techno-economists, ethicists and health managers. The participants tried together to identify the goals of stratified prevention. This prevention requires that clinical pictures be defined more narrowly. The starting point and guiding principle is the self-responsible patient, who is to be informed in a lifelong health educational mission that goes beyond school and is also individualized using digital technology. The social security law and the new prevention law rightly underline the considerable need for research that is necessary to develop ethical, effective and evidence-based stratified prevention and make it generally accessible. The necessary interdisciplinary research in the area of this precise prevention, which is only just beginning, should be scientifically strengthened and better anchored in society through better regulation of biodatabases and research consent that enables donations “for science”.