Number №4, 2019 - page 19-24

«Medicine 4P» on the example of managing patients with urolithiasis DOI: 10.29188/2222-8543-2019-11-4-19-24

For citation: Prosyannikov M.Yu., Konstantinova O.V., Voitko D.A., Anokhin N.V., Kuraeva V.M., Apolikhin O.I., Sivkov A.V. «Medicine 4P» on the example of managing patients with urolithiasis. Experimental and clinical urology 2019;(4):19-24
Prosyannikov M.Yu., Konstantinova O.V., Voytko D.A., Anohin N.V., Kuraeva V.M, Apolihin O.I., Sivkov A.V.
Information about authors:
  • Prosyannikov M.Yu. – PhD, head at the Department of urolithiasis of  of  N. Lopatkin Research Institute of urology and   Interventional Radiology – branch of the National Medical Research Centre of Radiology of Ministry of health of Russian Federation, prosyannikov@gmail.com, ORCID 0000-0003-3635-5244
  • Konstantinova O.V – Dr. Sc., Chief Researcher at the Department of urolithiasis of  N.A. Lopatkin Scientific Research Institute of Urology and Interventional Radiology – Branch of the National Medical Research Centre of Radiologyof the Ministry of Health of Russian Federation, konstant-ov@yandex.ru; ORCID 0000-0002-2214-7543
  • Voitko D.A. – PhD, researcher at the Department of urolithiasis of   N. Lopatkin Research Institute of urology and Interventional Radiology – branch of the National Medical Research Centre of Radiologyof Ministry of health of Russian Federation. 1987vda@mail.ru; ORCID 0000-0003-1292-1651
  • Anokhin N.V. – Researcher at the Department of urolithiasis of  N.A. Lopatkin Scientific Research Institute of Urology and Interventional Radiology – Branch of the National Medical Research Radiological Centre of the Ministry of Health of Russian Federation; anokhinnikolay@yandex.ru; ORCID 0000-0002-4341-4276;
  • Apolikhin O.I. – Dr. Sc, professor, сor.-member of RAS, director of N. Lopatkin Research Institute of urology and Interventional Radiology – branch of the National Medical Research Centre of Radiology of Ministry of health of Russian Federation. sekr.urology@gmail.com; ORCID 0000-0003-0206-043X
  • Sivkov A.V. – PhD, deputy director on scientific work of N. Lopatkin Research Institute of urology and Interventional Radiology – branch of the National Medical Research Centre of Radiology of Ministry of health of Russian Federation.uroinfo@yandex.ru; ORCID 0000-0001-8852-6485
  • Kuraeva V.M. – Researcher, Department of Statistics and Medical Documentary, FSBI Central Scientific Research Institute of Health, Ministry of Health of Russia,  kuraeva095@mail.ru; ORCID 0000-0002-1437-5861
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Introduction. Recently, a completely new concept of health care – «Medicine 4P» – has become increasingly widespread. Its name is derived from four fundamental principles: personalization of predictii, of prevention and of participatively. «Medicine 4P» is a format based on an individual approach to each patient, the purpose of which is the preclinical detection of diseases and their risk factors, as well as the devel-opment of a set of preventive measures. Given the relevance of urolithiasis in urological practice, the relationship of its development with metabolic disorders, it is important to assess the possibility of applying the principles of the concept of «Medicine 4P» for the organization of medical care for patients with this disease.

Methods and Results. The paper describes in detail the principles of «Мedicine 4P» on the example of management of patients with urolithiasis, a comparison of curative and preventive models of medical care on the example of assistance to patients with urolithiasis. The article presents the world and domestic experience of the concept of «Medicine 4P», demonstrated the possibility of applying this approach in the organization of medical care on the example of urolithiasis.

Conclusion. Application of the principles of «Мedicine 4P» will not only reduce the incidence of ICD, but also improve the health of citizens and reduce economic costs by reducing the number of patients requiring high-tech medical care

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urolithiasis, 4P medicine, preventions, participativeness, personalization, prediction

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