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Moving beyond silos: How do we provide distributed personalized medicine to pregnant women everywhere at scale? Insights from PRE-EMPT.

TitleMoving beyond silos: How do we provide distributed personalized medicine to pregnant women everywhere at scale? Insights from PRE-EMPT.
Publication TypeJournal Article
Year of Publication2015
Authorsvon Dadelszen, P, Magee, LA, Payne, BA, Dunsmuir, D, Drebit, S, Dumont, G, Miller, S, Norman, J, Pyne-Mercier, L, Shennan, A, Donnay, F, Bhutta, ZA, Ansermino, JM
JournalInt J Gynaecol Obstet
Volume131 Suppl 1
PaginationS10-5
Date Published2015 Oct
ISSN1879-3479
KeywordsAdult, Algorithms, Decision Support Systems, Clinical, Female, Health Facilities, Humans, Infant, Newborn, Maternal Health Services, Pre-Eclampsia, Precision Medicine, Pregnancy, Pregnancy Complications, Risk Assessment, Telemedicine
Abstract

While we believe that pre-eclampsia matters-because it remains a leading cause of maternal and perinatal morbidity and mortality worldwide-we are convinced that the time has come to look beyond single clinical entities (e.g. pre-eclampsia, postpartum hemorrhage, obstetric sepsis) and to look for an integrated approach that will provide evidence-based personalized care to women wherever they encounter the health system. Accurate outcome prediction models are a powerful way to identify individuals at incrementally increased (and decreased) risks associated with a given condition. Integrating models with decision algorithms into mobile health (mHealth) applications could support community and first level facility healthcare providers to identify those women, fetuses, and newborns most at need of facility-based care, and to initiate lifesaving interventions in their communities prior to transportation. In our opinion, this offers the greatest opportunity to provide distributed individualized care at scale, and soon.

DOI10.1016/j.ijgo.2015.02.008
Alternate JournalInt J Gynaecol Obstet
Citation Key617
PubMed ID26433496