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Integrating Genomics into Healthcare: A Global Responsibility
Zornitza Stark1, Lena Dolman2, Teri A Manolio3
1Australian Genomics Health Alliance, Melbourne VIC 3052, Australia; Murdoch Children's Research Institute, Melbourne VIC 3052, Australia; Department of Paediatrics, University of Melbourne, Melbourne VIC 3052, Australia.
American Journal of Human Genetics
|January 5, 2019
Summary
National genomic medicine initiatives are transforming healthcare with billions in government funding. These programs address implementation challenges and share data internationally to speed up genomic healthcare adoption.
Area of Science:
- Genomic Medicine
- Healthcare Implementation Science
Background:
- Genomic sequencing is increasingly integrated into clinical practice globally.
- Significant government investment (over $4 billion) in at least 14 countries supports national genomic medicine initiatives.
- These initiatives aim to drive real-world transformation, overcome implementation barriers, and generate evidence for broader use.
Purpose of the Study:
- To review diverse approaches and progress of national genomic medicine initiatives.
- To provide a roadmap for international collaboration in sharing strategies, standards, and data.
- To accelerate the global implementation of genomic medicine.
Main Methods:
- Review of national genomic medicine initiatives in the UK, France, Australia, and the US.
- Analysis of implementation strategies, encountered barriers, and evidence generation.
- Development of recommendations for international data and standards sharing.
Main Results:
- National genomic medicine initiatives exhibit diverse approaches but share common goals.
- Substantial government investment is fueling real-world implementation and evidence gathering.
- Progress varies, highlighting the need for coordinated international efforts.
Conclusions:
- International collaboration is crucial for accelerating genomic medicine implementation.
- Sharing strategies, standards, and data can overcome common challenges.
- A coordinated global roadmap is needed to maximize the impact of genomic medicine.
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