From prevention to proactivity: the shift of Medicine 3.0

In the context of constantly developing medicine, the two concepts of "preventive health care" and "proactive health care" are increasingly mentioned. Medicine 3.0 is the comprehensive combination of these two approaches at a higher, more modern level.

These are two complementary approaches that lead to the common goal of protecting and improving public health.

Preventive Healthcare has a "prevent disease before it happens" mindset, focusing on reducing the risk of known diseases such as cardiovascular disease or cancer. Meanwhile, Proactive Healthcare aims at "continuously optimizing health to avoid decline", focusing on maintaining biological efficiency and detecting dysfunction at an early stage. In terms of scope, Proactive Healthcare encompasses Preventive Medicine. When the proactive model is widely applied, prevention becomes a natural part of the system.

Tools and technology in two models

While preventative care relies on common tests such as blood pressure, lipids, X-rays or endoscopy, proactive care extends to modern tools such as gene sequencing, biological aging, gut microbiome analysis, continuous monitoring with wearables and artificial intelligence applications.

This difference reflects the level of technological development, not a good-bad assessment. Prevention remains the key foundation, while proactively adding a layer of personalized data increases the ability to identify dysfunction early.

Medicine 3.0 is a comprehensive combination of two approaches from prevention to proactiveness at a higher, more modern level.

The role of users and health professionals

In the preventive model, patients primarily follow the instructions of their doctors. In the proactive model, users become co-creators of their own health data along with their health professionals. The system shifts from being doctor-centric to being data-centric and user-centric with guidance and companionship from a health coach.

This shift does not negate the role of the physician but expands the way the two sides cooperate, especially in the context of increasingly popular 24/7 monitoring technology.

Medicine 3.0 educates and empowers people to manage their health, that is Proactivity.

Practical applications in health fields

There are three sets of situations to illustrate the difference:

– Metabolism: “Prevention” recommends diet and exercise, and adequate sleep when blood sugar is high. “Proactive” continuously monitors blood sugar and analyzes insulin response to personalize lifestyle.

– Cardiovascular: "Preventive" cholesterol control. "Proactive" deeper assessment through ApoB, oxidized LDL or endothelial function.

– Cognitive decline: “Prevention” focuses on memory screening after age 65. “Proactive” monitors sleep, systemic inflammation, and environmental factors earlier.

With Proactive Medicine, monitoring the body's biochemical indicators is not only a prediction for prevention but also early detection as soon as signs of deterioration and imbalance of the body appear to adjust with activities and lifestyle interventions.

Medicine 3.0 is the optimal integration of prevention and proactivity

Medicine 3.0 – the intersection of two systems of thinking

The most important point is that "Medicine 3.0" is not a replacement but an optimal integration of prevention and proactivity.

Accordingly, Medicine 3.0 includes 5 elements:

1. Prevention: Provide solutions from environmental to personal for prevention

2. Accurate: Health parameters are detected early and accurately

3. Personalization: Adjust according to genes, environment, lifestyle.

4. Prediction: Use data to predict risks.

5. Participation: Users are involved in creating and managing health data.

And above all, Medicine 3.0 educates and empowers people to manage their health, which is Proactivity.

Medicine 3.0, therefore, does not position the two models in opposition. Instead, it sees preventive care as the foundation and proactive care as an extension, in line with the age of data and technology.

Conclude

Prevention and proactivity are two indispensable layers and Medicine 3.0 is the convergence of both. It is an approach that helps the healthcare system move closer to the goal of healthier, longer and more proactive lives.

Pharmacist, Biomedical Engineer Vincent Nguyen

Institute for Comprehensive Health Research

Source: https://suckhoedoisong.vn/tu-du-phong-den-chu-dong-buoc-chuyen-cua-medicine-30-169251125212959658.htm