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Equity and Value in 'Precision Medicine'.

Muir Gray1,2, Tyra Lagerberg3, Viktor Dombrádi4

  • 1a Department of Primary Care , University of Oxford , Oxford , UK.

The New Bioethics : a Multidisciplinary Journal of Biotechnology and the Body
|May 19, 2017
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Summary
This summary is machine-generated.

Precision medicine offers great potential but risks exacerbating health inequities. Engaging all stakeholders is crucial for optimizing genomic medicine

Keywords:
equitygenomicshealthcarepersonalised medicinepowervalue

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Area of Science:

  • Genomics
  • Healthcare Policy
  • Bioethics

Background:

  • Precision medicine, driven by genomic technologies, holds significant promise for treating diseases with clear genetic links.
  • Ethical considerations, particularly concerning equity, are paramount in the implementation of precision medicine.
  • The concept of 'triple value' (allocative, personal, technical) in healthcare is introduced to analyze equity implications.

Purpose of the Study:

  • To define the 'triple value' of healthcare and its relationship to equity in precision medicine.
  • To explore the potential risks of precision medicine in concentrating resources and exacerbating existing societal inequities.
  • To emphasize the need for multi-stakeholder involvement in maximizing precision medicine's benefits while upholding equity.

Main Methods:

  • Conceptual analysis of 'triple value' and its connection to healthcare equity.
  • Discussion of potential resource allocation challenges in precision medicine.
  • Case reference to the NHS RightCare Programme for insights into value and equity initiatives.

Main Results:

  • Precision medicine may disproportionately benefit individuals with existing healthcare access and societal power.
  • A risk exists of widening health disparities nationally and globally if equity is not prioritized.
  • The NHS RightCare Programme serves as a model for addressing value and equity in healthcare.

Conclusions:

  • Optimizing precision medicine requires a balanced approach that integrates genomic advancements with ethical considerations of equity.
  • Collaborative efforts among healthcare payers, clinicians, and patients are essential for equitable implementation.
  • Ensuring equity is critical to realizing the full potential of precision medicine across diverse populations.