title: [Why Strive after Clinical Social Medicine? From Epidemiological Association to Personalized Social Medicine: a Case of Breast Cancer Care].
abstract: Advances in biomedicine, especially molecular biology and genetics, gave rise to the concept of personalized medicine targeting the patient's individual characteristics and needs to ensure the best possible therapy and healthcare. This concept, however, can be successfully implemented only if due consideration is given to (psycho-)social factors, as is shown for instance by considerably reduced post-therapy survival rates among cancer patients in regions with lower socioeconomic status, How breast cancer patients, for instance, find their way back to daily life and work after initial treatment at a breast center is substantially determined by multiple factors going beyond pure medical care. These factors critically affect health status and therapy outcomes, but are missing in current research agenda. A profound expertise in social medicine is required to respond in ways tailored to the individual's healthcare needs that go beyond just medical therapy. This expertise comprises, in particular, knowledge of inequality of access to healthcare due to varying health competence that in turn, results in inequality of health outcome and care. Competence in social medicine both in the clinic and outpatient care can help to individually target negative factors that originate from the social environment as well as from deficits in communication and coordination in the healthcare system and have an effect on the health status of patients..This, however, requires institutionalization of (clinical) social medicine and in particular, better opportunities for advanced training in social medicine in clinical departments and outpatient units.
authors.affiliation: Department für Frauengesundheit (Leitender Ärztlicher Direktor: Prof. Dr. med. Diethelm Wallwiener), Universitätsklinikum Tübingen, Tübingen.
authors.forename: E
authors.initials: E
authors.lastname: Simoes
authors.affiliation: Department für Frauengesundheit (Leitender Ärztlicher Direktor: Prof. Dr. med. Diethelm Wallwiener), Universitätsklinikum Tübingen, Tübingen.
authors.forename: A N
authors.initials: AN
authors.lastname: Sokolov
authors.affiliation: Department für Frauengesundheit (Leitender Ärztlicher Direktor: Prof. Dr. med. Diethelm Wallwiener), Universitätsklinikum Tübingen, Tübingen.
authors.forename: J
authors.initials: J
authors.lastname: Graf
authors.affiliation: Abteilung für Biomedizinische Magnetresonanz (Leitung: Prof. Dr. phil. Klaus Scheffler), Department für Radiologie, Universitätsklinikum Tübingen, Tübingen.
authors.forename: M A
authors.initials: MA
authors.lastname: Pavlova
authors.affiliation: Department für Frauengesundheit (Leitender Ärztlicher Direktor: Prof. Dr. med. Diethelm Wallwiener), Universitätsklinikum Tübingen, Tübingen.
authors.forename: S Y
authors.initials: SY
authors.lastname: Brucker
authors.affiliation: Department für Frauengesundheit (Leitender Ärztlicher Direktor: Prof. Dr. med. Diethelm Wallwiener), Universitätsklinikum Tübingen, Tübingen.
authors.forename: D
authors.initials: D
authors.lastname: Wallwiener
authors.affiliation: Institut für Arbeitsmedizin, Sozialmedizin und Versorgungsforschung (Ärztliche Direktorin: Prof. Dr. med. Monika A. Rieger), Universitätsklinikum Tübingen, Tübingen.
authors.forename: F W
authors.initials: FW
authors.lastname: Schmahl
authors.affiliation: Universitätsklinikum Tübingen (Leitender Ärztlicher Direktor: Prof. Dr. med. Michael Bamberg), Tübingen.
authors.forename: M
authors.initials: M
authors.lastname: Bamberg
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology; D001943:Breast Neoplasms / Q000453:epidemiology / Q000523:psychology* / Q000628:therapy*; D016021:Epidemiologic Studies; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D017063:Outcome Assessment, Health Care / Q000458:organization & administration*; D017060:Patient Satisfaction; D057285:Precision Medicine / Q000379:methods*; D011788:Quality of Life / Q000523:psychology*; D012936:Social Medicine / Q000458:organization & administration*