J Korean Med Assoc.  2011 Mar;54(3):246-249.

Concepts and necessity of preventive medical services for the 21st century

Affiliations
  • 1Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Korea. yoahn@snu.ac.kr

Abstract

Not only disease patterns but also the contents and concepts of medical services are rapidly changing recent years. A quick look at the evolution of health care services shows that it has evolved in two major ways. First, medical interventions are gradually moving towards the prevention before diseases development. Second, the medical services have become individualized or tailored. The shift to preventive medical care is the most anticipated change in medical services in the 21st century. Theses phenomena are believed as a logical progression in the transition and evolution of medical services, and as a equivalence of the changing medical environment, such as progress in health care technology and changes in life value etc. Clinical practice based on evidence-based medicine is what distinguishes modern medicine from traditional medicine. Preventive medical services have also been established based on scientific evidence. The academic knowledge used as a basis for preventive medical services comes from the investigation of disease etiology, i.e. epidemiology. In the 21st century, the preventive medical service will be differentiated and enlarged to broad areas of medical practice and the target of the service may be focused to the a variety of complex diseases.

Keyword

Preventive medical service; Evidence-based medicine; Disease etiology; Individualized medicine; Complex diseases; Epidemiology

MeSH Terms

Biomedical Technology
Delivery of Health Care
Evidence-Based Medicine
History, Modern 1601-
Logic
Medicine, Traditional
Precision Medicine

Reference

1. Ahn YO. Lee KY, editor. Graduate medical education. Medical sciences for clinical practice. 2008. Seoul: Nanam;278–283.
2. Ahn YO. Kim YI, Park SH, Seo JS, Jung JT, editors. Counterplan of medical services for the changing patterns and trends of human diseases. Challenging future medicine. 2008. Seoul: Hankook CTP;544–552.
3. U.S. Department of Health and Human Services. Healthy people 2000: national health promotion and disease prevention objectives. 1991. Washington D.C.: U.S. Government Printing Office;692.
4. U.S. Preventive Services Task Force. Guide to clinical preventive services: an assessment of the effectiveness of 169 interventions. 1989. Baltimore: William & Wilkins;419.
5. Ahn YO. Truth and untruth of health examination: lest it should be done for clinical tests. J Korean Med Assoc. 1996. 39:518–521.
6. Ahn YO, Yoo KY, Park BJ, Kim DH, Bae JM, Kang DH, Shin MH, Kee MS. Epidemiology: the principles and applications. 2005. Seoul: Seoul National University Press.
7. Ahn YO. The object of education in preventive medicine residenrship. Korean J Prev Med. 1994. 27:659–664.
8. American Medical Association. Periodic health examination: a manual for physicians. 1940. Chicago: American Medical Association.
9. Council on Scientific Affairs. Medical evaluations of healthy persons. JAMA. 1983. 249:1626–1633.
10. Ahn YO, Shin MH. The role and activities of clinical epidemiologists. Korean J Epidemiol. 1994. 16:20–27.
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