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Open Access 01-03-2019 | Original Article

Person Centered Care and Personalized Medicine: Irreconcilable Opposites or Potential Companions?

Authors: Leila El-Alti, Lars Sandman, Christian Munthe

Published in: Health Care Analysis | Issue 1/2019

Abstract

In contrast to standardized guidelines, personalized medicine and person centered care are two notions that have recently developed and are aspiring for more individualized health care for each single patient. While having a similar drive toward individualized care, their sources are markedly different. While personalized medicine stems from a biomedical framework, person centered care originates from a caring perspective, and a wish for a more holistic view of patients. It is unclear to what extent these two concepts can be combined or if they conflict at fundamental or pragmatic levels. This paper reviews existing literature in both medicine and related philosophy to analyze closer the meaning of the two notions, and to explore the extent to which they overlap or oppose each other, in theory or in practice, in particular regarding ethical assumptions and their respective practical implications.

Both of these practices also actualize a number of ethical issues [32, 39]. The present paper, while noting ethically relevant conceptual similarities and differences between the two notions, is not meant to engage substantially with any of these.

The databases consulted were CINAHL, Google Scholar, Philosopher’s Index, PubMed, and Web of Science.

In recent years, following the formulation of certain funding programs, this term has somewhat shifted to precision medicine instead of personalized medicine. This shift emphasizes the PM push towards a more “objective” view of the patient, which will be described in “Agency, holism, and reductionism: the subjective-objective tension ” section of the paper.

It has been noted that this specific feature of PCC may give rise to especially complex ethical priority setting issues about applying inefficient but desired therapies [17, 32, 38].

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Title: Person Centered Care and Personalized Medicine: Irreconcilable Opposites or Potential Companions?
Authors: Leila El-Alti
Lars Sandman
Christian Munthe
Publication date: 01-03-2019
Publisher: Springer US
Published in: Health Care Analysis / Issue 1/2019
Print ISSN: 1065-3058
Electronic ISSN: 1573-3394
DOI: https://doi.org/10.1007/s10728-017-0347-5

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Person Centered Care and Personalized Medicine: Irreconcilable Opposites or Potential Companions?

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