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Progress toward Health System Readiness for Genome-Based Testing in Canada

(1) Background: Genomic medicine harbors the real potential to improve the health and healthcare journey of patients, care provider experiences, and improve the health system efficiency—even reducing healthcare costs. There is expected to be an exponential growth in medically necessary new genome-ba...

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Autores principales: Husereau, Don, Villalba, Eva, Muthu, Vivek, Mengel, Michael, Ivany, Craig, Steuten, Lotte, Spinner, Daryl S., Sheffield, Brandon, Yip, Stephen, Jacobs, Philip, Sullivan, Terrence, Arshoff, Larry
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10296918/
https://www.ncbi.nlm.nih.gov/pubmed/37366891
http://dx.doi.org/10.3390/curroncol30060408
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author Husereau, Don
Villalba, Eva
Muthu, Vivek
Mengel, Michael
Ivany, Craig
Steuten, Lotte
Spinner, Daryl S.
Sheffield, Brandon
Yip, Stephen
Jacobs, Philip
Sullivan, Terrence
Arshoff, Larry
author_facet Husereau, Don
Villalba, Eva
Muthu, Vivek
Mengel, Michael
Ivany, Craig
Steuten, Lotte
Spinner, Daryl S.
Sheffield, Brandon
Yip, Stephen
Jacobs, Philip
Sullivan, Terrence
Arshoff, Larry
author_sort Husereau, Don
collection PubMed
description (1) Background: Genomic medicine harbors the real potential to improve the health and healthcare journey of patients, care provider experiences, and improve the health system efficiency—even reducing healthcare costs. There is expected to be an exponential growth in medically necessary new genome-based tests and test approaches in the coming years. Testing can also create scientific research and commercial opportunities beyond healthcare decision making. The purpose of this research is to generate a better understanding of Canada’s state of readiness for genomic medicine, and to provide some insights for other healthcare systems. (2) Methods: A mixed-methods approach of a review of the literature and key informant interviews with a purposive sample of experts was used. The health system readiness was assessed using a previously published set of conditions. (3) Results: Canada has created some of the established conditions, but further action needs to be taken to improve the state of readiness for genome-based medicine. The important gaps to be filled are the need for linked information systems and data integration; evaluative processes that are timely and transparent; navigational tools for care providers; dedicated funding to facilitate rapid onboarding and support test development and proficiency testing; and broader engagement with innovation stakeholders beyond care providers and patients. These findings highlight the role of the organizational context, social influence, and other factors that are known to affect the diffusion of innovation within health systems.
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spelling pubmed-102969182023-06-28 Progress toward Health System Readiness for Genome-Based Testing in Canada Husereau, Don Villalba, Eva Muthu, Vivek Mengel, Michael Ivany, Craig Steuten, Lotte Spinner, Daryl S. Sheffield, Brandon Yip, Stephen Jacobs, Philip Sullivan, Terrence Arshoff, Larry Curr Oncol Article (1) Background: Genomic medicine harbors the real potential to improve the health and healthcare journey of patients, care provider experiences, and improve the health system efficiency—even reducing healthcare costs. There is expected to be an exponential growth in medically necessary new genome-based tests and test approaches in the coming years. Testing can also create scientific research and commercial opportunities beyond healthcare decision making. The purpose of this research is to generate a better understanding of Canada’s state of readiness for genomic medicine, and to provide some insights for other healthcare systems. (2) Methods: A mixed-methods approach of a review of the literature and key informant interviews with a purposive sample of experts was used. The health system readiness was assessed using a previously published set of conditions. (3) Results: Canada has created some of the established conditions, but further action needs to be taken to improve the state of readiness for genome-based medicine. The important gaps to be filled are the need for linked information systems and data integration; evaluative processes that are timely and transparent; navigational tools for care providers; dedicated funding to facilitate rapid onboarding and support test development and proficiency testing; and broader engagement with innovation stakeholders beyond care providers and patients. These findings highlight the role of the organizational context, social influence, and other factors that are known to affect the diffusion of innovation within health systems. MDPI 2023-06-01 /pmc/articles/PMC10296918/ /pubmed/37366891 http://dx.doi.org/10.3390/curroncol30060408 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Husereau, Don
Villalba, Eva
Muthu, Vivek
Mengel, Michael
Ivany, Craig
Steuten, Lotte
Spinner, Daryl S.
Sheffield, Brandon
Yip, Stephen
Jacobs, Philip
Sullivan, Terrence
Arshoff, Larry
Progress toward Health System Readiness for Genome-Based Testing in Canada
title Progress toward Health System Readiness for Genome-Based Testing in Canada
title_full Progress toward Health System Readiness for Genome-Based Testing in Canada
title_fullStr Progress toward Health System Readiness for Genome-Based Testing in Canada
title_full_unstemmed Progress toward Health System Readiness for Genome-Based Testing in Canada
title_short Progress toward Health System Readiness for Genome-Based Testing in Canada
title_sort progress toward health system readiness for genome-based testing in canada
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10296918/
https://www.ncbi.nlm.nih.gov/pubmed/37366891
http://dx.doi.org/10.3390/curroncol30060408
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