A “P5” Approach to Healthcare and Health Technology

  title={A “P5” Approach to Healthcare and Health Technology},
  author={Gabriella Pravettoni and Stefano Triberti},
The challenges represented by chronic conditions worldwide are related to disease management and patient engagement. Healthcare should open not only to new tools and resources but also to innovative approaches. This contribution deepens the concept of P5 medicine, namely, an evolution of patient-centered medicine approaches which tries to identify the main characteristics medical interventions should have in order to meet patients’ needs. Specifically, healthcare should be predictive… 
Medicine 4.0: New Technologies as Tools for a Society 5.0
A preliminary, tentative link between technological innovation and the healthcare sector allows us to adopt several outlooks on how to change research, always more transdisciplinary, combining science with social science in order to remain human-centered.
Toward the Value Sensitive Design of eHealth Technologies to Support Self-management of Cardiovascular Diseases: Content Analysis
Existing eHealth technologies could be connected with CVD patients’ values, largely through design features that relate to educational support, self-monitoring support, behavior change support, feedback, and motivational incentives.
Towards Value Sensitive Design of eHealth Technologies to Support Self-Management of Cardiovascular Diseases: Content Analysis (Preprint)
BACKGROUND eHealth can revolutionize the way self-management support is offered to chronically-ill individuals such as those with a cardiovascular disease (CVD). However, the patients’ fluctuating
Importance of Big Data in Precision and Personalized Medicine
The maturity in big data planning and correlated challenges in biomedicine is discussed to discuss the transformation of the period of P4 medicine that will then progressively be more predictive, personalized, pre-emptive, and participatory.
Personalized, Predictive, Participatory, Precision, and Preventive (P5) Medicine in Rotator Cuff Tears
The ability to define genetic predispositions in conjunction with the evaluation of lifestyle and environmental factors may boost the tailoring of diagnosis and therapy in patients suffering from RC diseases.
"Invisible Voices": A Critical Incident Study of Family Caregivers' Experience of Nursing Homes After Their Elder Relative's Death.
  • F. Aschieri, S. Barello, I. Durosini
  • Medicine, Psychology
    Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing
  • 2020
Analysis of narratives of Italian family caregivers of elders who experienced nursing home placement suggested that positive long-term recollection of the nursing home was associated with different themes emerging from the interviews: medical reliability and expertise, active demonstrations of care that extend beyond the contract with the facility, individualized attention, responsiveness, openness to dialog with family members about routines, management of the first impression, and family engagement.


P4 medicine needs P4 education.
This monographic issue of Current Pharmacological Design discusses extensively on the innovative paradigms for disease control in Active and Healthy Ageing using the framework of the holistic and integrative philosophy of the Predictive, Preventive, Personalized and Participatory (P4) Systems Medicine.
Enabling eHealth as a Pathway for Patient Engagement: a Toolkit for Medical Practice.
A toolkit of phase-specific technological resources, highlighting their specific potentialities in fostering the patient engagement process is suggested, based on the Patient Engagement model and on the Positive Technology paradigm.
A P5 Approach to m-Health: Design Suggestions for Advanced Mobile Health Technology
An innovative approach to mHealth design and implementation is proposed, namely P5 mHealth, based on the P5 approach to medicine and health care, which provides design suggestions to address mHealth adoption issues already at the initial stages of development of the technologies.
Smart Recommendation Services in Support of Patient Empowerment and Personalized Medicine
This chapter provides a systematic review of user profiling techniques and approaches and presents the results in developing a psycho-cognitive profile of the user/patient and describes the details and challenges of implementing the recommendation system and services.
Value as the key concept in the health care system: how it has influenced medical practice and clinical decision-making processes
This article proposes a possible link between health care system based on “value” and new paradigms such as patient-centered system (PCS), patient empowerment, and P5 medicine, in order to create a predictive, personalized, preventive, participatory, and psycho-cognitive model to treat patients.
A personal view on systems medicine and the emergence of proactive P4 medicine: predictive, preventive, personalized and participatory.
The challenge in bringing P4 medicine to patients and consumers is first, inventing the strategies and technologies that will enable P3 medicine and second, dealing with the impact of P4 Medicine on society - including key ethical, social, legal, regulatory, and economic issues.
A P5 cancer medicine approach: why personalized medicine cannot ignore psychology.
It is proposed that P4 medicine should be transformed into P5 medicine, where the fifth P represents the psycho-cognitive aspects to be considered in order to empower the patient, increase his/her quality of life and transform him/her from a passive recipient into an active decision-maker in the treatment process.
eHealth for Patient Engagement: A Systematic Review
There is a need for a more holistic view of patient needs to actually engage them in eHealth interventions and obtaining positive outcomes, and patient engagement constitute a new frontiers for healthcare models where eHealth could maximize its potentialities.
Patient Engagement as an Emerging Challenge for Healthcare Services: Mapping the Literature
The authors' data showed that patient engagement is gaining increasing attention by all the academic disciplines involved in health research with a predominance of medicine and nursing, and there is still a lack of an evidence-based theoretical foundation of the construct as well as of the organizational dimensions that foster it.
Personalised medicine: the cognitive side of patients.
There are substantial individual differences among patients; therefore, it is important that physicians recognise how to apply general recommendations to each individual patient, alongside the omic information emerging from the molecular diagnostic laboratory.