The personalized medicine discourse: archaeology and genealogy.
Epistemology
Health care
Person
Personalized medicine
Journal
Medicine, health care, and philosophy
ISSN: 1572-8633
Titre abrégé: Med Health Care Philos
Pays: Netherlands
ID NLM: 9815900
Informations de publication
Date de publication:
Jun 2021
Jun 2021
Historique:
accepted:
11
12
2020
pubmed:
4
1
2021
medline:
26
11
2021
entrez:
3
1
2021
Statut:
ppublish
Résumé
Personalized Medicine (PM) is an evolving and often missinterpreted concept and no agreement of personalization exist. We examined the PM discourse towards foucauldian archeological and genealogical analysis to understand the meaning of "personalization" in medicine. In the archaeological analysis, the historical evolution is characterized by the coexistence of two epistemologies: the holistic vision and the omic sciences. The genealogical analysis shows how these epistemologies may affect the meaning of "person" and, consequently, the ontology of patients. Additionally, substitutions/confusions of the term PM are related to continuously evolving medical knowledge and new technologies; different etymological roots of "personalization" and "person"; and cultural differences. In conclusion, if the definition of "personalization" in medicine is not clear, patients might get wrong expectations about what is achievable for their health. Therefore, epistemological trends should not be separated as they drive same goals: providing accurate diagnosis and treatments based on large data to predict disease progression.
Identifiants
pubmed: 33389365
doi: 10.1007/s11019-020-09997-6
pii: 10.1007/s11019-020-09997-6
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
247-253Références
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