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What will medicine look like in 2031?

Ten years is not much on the scale of the time required for development drugs and health research. However, the pandemic has shown that powerful accelerators can be given in certain circumstances. On the occasion of the ten years of the “Science & medicine” supplement of World, we asked medical specialists to project themselves into a decade to discuss the transformations to come. See you in 2031 to measure the gap between predictions and reality.

Personalized Medicine: “We’ll look back at how we prescribe drugs today and say, ‘It was the Stone Age.’

Clément Goehrs, public health physician, co-founder of Synapse Medicine

Personalized medicine, with treatments and follow-up that are truly individualized according to the characteristics of the patients, will become a routine reality, for three reasons. First of all, there is a fundamental trend towards the chronicization of diseases and the increasing complexity of medicine. In France, according to Medicare data, 30% to 40% of people aged 75 or over take at least ten different medications per day. Then, thanks to artificial intelligence, we now have the means to generate much more knowledge at the individual level, from hospital data and real life. Finally, pharmaceutical companies are investing heavily in these personalized medicine approaches, which began in fields such as oncology.

Concretely, this will result in the generalization of prescription assistance tools, and monitoring outside the walls of the hospital, thanks to the development of teleconsultations, and applications making it possible to monitor and transmit parameters in real time. sick people. These applications will be able, for example, to detect an undesirable effect of a drug, an outbreak of chronic disease, a relapse of cancer. For patients, this is good news because they will regain power and be more involved in their health. Health professionals and in particular doctors will need decision aids. They will increasingly be systems managers, like airplane pilots. It remains to be seen who will build and own the planes. In the United States, the digital giants are positioning themselves as healthcare players. Amazon therefore offers drug delivery, teleconsultations and even home care services. Apple has created its own clinics. In France, this question remains open for the moment.

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