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Beyond data and technology: the need for new thinking to enable the era of precision prevention - PubMed

3 days ago
  • #AI in Health
  • #Healthcare Innovation
  • #Precision Prevention
  • Global initiatives promote proactive health to reduce reactive healthcare burdens.
  • Precision prevention targets causal pathways across disease continuum, surpassing conventional public health.
  • Barriers to scaling precision prevention include misalignment with advances; need integrated frameworks.
  • Core of precision prevention is individualised risk stratification using genomics, molecular markers, and exposomics.
  • Machine learning/AI integrate heterogeneous data for personalised health trajectory predictions.
  • Trustworthy AI requires transparency in model logic, assumptions, and performance.
  • Discovery challenges: diagnostic classifications hide heterogeneity; precision phenotyping can reveal molecular insights.
  • Evidence strategies for long-latency diseases include high-risk enrichment, surrogate endpoints, and adaptive monitoring.
  • Stochastic variation and minimal exposures may encode individual-level signals.
  • Shift to proactive healthcare needs coordinated stakeholder action to reform discovery, assessment, and implementation.