PERSONIFYED MEDICINE AS A GLOBAL OBJECTIVE TO DEVELOP INSURANCE AND SYSTEM MEDICINE
DOI:
https://doi.org/10.11603/mie.1996-1960.2019.2.10317Keywords:
personified medicine, insurance medicine, translational medicine, system medicine, ontology of knowledge, principle of cost sharing, moral hazardAbstract
Background. The life expectancy of a person has increased dramatically in recent decades. The increase in the number of elderly and senile people creates serious problems for health care systems, and in this context the promotion of healthy aging is crucial. Despite a variety of cost containment strategies, the retrograde nature of health systems complicates the process of reducing overall costs. Problems of the analysis of possibilities of finding resources for financing of the health care sector, first of all, by introduction of insurance medicine are considered.
Results. Materials and methods. The main purpose of the work was to analyze the possibilities of finding resources to finance the health sector. It is shown that personalized medicine should become the global goal of the strategic development of insurance and system medicine. The empirical question remains: is an effective policy to contain common expenses? How can personalized medicine be provided? Insurance medicine is largely prone to moral hazard. Therefore, its implementation creates certain risks, which in practice is difficult to control. One of the effective methods for preventing asymmetry of information (moral hazard) and significantly improving the quality of systemic medicine is the introduction of ontologies of knowledge.
Conclusion. The transition from independent documents to the concept of semantic documents allows extending the thesaurus of ontology, without requiring it's restructuring. In addition, semantic documents can integrate several ontologies of various subject areas to form a single transdisciplinary information space, reduce time and financial costs for the implementation of consolidation systems of insurance and systemic medicine. The use of computer ontologies in the field of insurance medicine allows you to create a single information space with a unified vocabulary of terms in the subject area to ensure a common understanding between expert doctors and insured experts.
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