Effective and Efficient Delivery of Genome-Based Testing-What Conditions Are Necessary for Health System Readiness?
department or school: Medicine, Faculty of
department or school: Non UBC
department or school: Pathology and Laboratory Medicine, Department of
data provider: DSpace
identifier citation: Healthcare 10 (10): 2086 (2022)
contributor: Provincial Health Services Authority (B.C.)
creator: Husereau, Don
creator: Steuten, Lotte
creator: Muthu, Vivek
creator: Thomas, David M.
creator: Spinner, Daryl S.
creator: Ivany, Craig
creator: Mengel, Michael
creator: Sheffield, Brandon
creator: Yip, Stephen
creator: Jacobs, Philip
creator: Sullivan, Terrence
issued: 2024-12-17T18:40:09Z
issued: 2022-10-19
description: Health systems internationally must prepare for a future of genetic/genomic testing to inform healthcare decision-making while creating research opportunities. High functioning testing services will require additional considerations and health system conditions beyond traditional diagnostic testing. Based on a literature review of good practices, key informant interviews, and expert discussion, this article attempts to synthesize what conditions are necessary, and what good practice may look like. It is intended to aid policymakers and others designing future systems of genome-based care and care prevention. These conditions include creating communities of practice and healthcare system networks; resource planning; across-region informatics; having a clear entry/exit point for innovation; evaluative function(s); concentrated or coordinated service models; mechanisms for awareness and care navigation; integrating innovation and healthcare delivery functions; and revisiting approaches to financing, education and training, regulation, and data privacy and security. The list of conditions we propose was developed with an emphasis on describing conditions that would be applicable to any healthcare system, regardless of capacity, organizational structure, financing, population characteristics, standardization of care processes, or underlying culture.
aggregated CHO: https://circle.library.ubc.ca/rest/handle/2429/89901
note: Citation: Husereau, D.; Steuten, L.;Muthu, V.; Thomas, D.M.; Spinner,D.S.; Ivany, C.; Mengel, M.; Sheffield,B.; Yip, S.; Jacobs, P.; et al. Effectiveand Efficient Delivery ofGenome-Based Testing-WhatConditions Are Necessary for HealthSystem Readiness?. Healthcare 2022,10, 2086. https://doi.org/10.3390/healthcare10102086Academic Editor: Simona ZaamiReceived: 22 August 2022Accepted: 12 October 2022Published: 19 October 2022Publisher’s Note: MDPI stays neutralwith regard to jurisdictional claims inpublished maps and institutional affil-iations.Copyright: © 2022 by the authors.Licensee MDPI, Basel, Switzerland.This article is an open access articledistributed under the terms andconditions of the Creative CommonsAttribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).healthcarePerspectiveEffective and Efficient Delivery of Genome-Based Testing-WhatConditions Are Necessary for Health System Readiness?Don Husereau 1,* , Lotte Steuten 2,3, Vivek Muthu 4, David M. Thomas 5,6, Daryl S. Spinner 7, Craig Ivany 8,Michael Mengel 9 , Brandon Sheffield 10, Stephen Yip 11, Philip Jacobs 12 and Terrence Sullivan 13,141 School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON K1G 5Z3, Canada2 Office of Health Economics, London SE1 2HB, UK3 City Health Economics Centre (CHEC), City University of London, London EC1V 0HB, UK4 Marivek Healthcare Consulting, Epsom KT18 7PF, UK5 Garvan Institute of Medical Research, Sydney, NSW 2010, Australia6 Omico, Sydney, NSW 2010, Australia7 Menarini Silicon Biosystems Inc., Huntingdon Valley, PA 19006, USA8 Provincial Health Services Authority, Vancouver, BC V5Z 1G1, Canada9 Department of Laboratory Medicine & Pathology, University of Alberta, Edmonton, AB T6G 2S2, Canada10 William Osler Health System, Brampton, ON L6R 3J7, Canada11 Department of Pathology and Laboratory Medicine, Faculty of Medicine, University of British Columbia,Vancouver, BC V6T 1Z7, Canada12 Faculty of Medicine and Dentistry, University of Alb…
has type: Article
is shown at: 10.14288/1.0447527
language: eng
peer review status: Reviewed
provider: Vancouver : University of British Columbia Library
publisher: Multidisciplinary Digital Publishing Institute
publisher DOI: 10.3390/healthcare10102086
rights: CC BY 4.0
rights URI: https://creativecommons.org/licenses/by/4.0/
scholar level: Faculty
scholar level: Researcher
subject: diagnostic molecular pathology
subject: genetic testing
subject: diagnostic services
subject: technology assessment
subject: biomedical
subject: genetic services
subject: financial support
subject: clinical governance
subject: health technology
subject: health care innovation
type: Text
identifier URI: http://hdl.handle.net/2429/89901