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Implementing Precision Medicine in Community-Based Oncology Programs: Three Models

Laura A Levit1, Edward S Kim2, Barbara L McAneny3

  • 11 American Society of Clinical Oncology, Alexandria, VA.

Journal of Oncology Practice
|February 26, 2019
PubMed

Insights

Precision medicine in oncology is growing, but community practices face implementation challenges. Successful models use molecular tumor boards, clinical pathways, and administrative support for prior authorization and clinical trial matching.

Area of Science:

  • Oncology
  • Genomics
  • Precision Medicine

Background:

  • The increasing use of precision medicine, genomic-based treatments, and immunotherapies presents opportunities and challenges in cancer care.
  • Community practices, where most cancer patients receive treatment, face significant hurdles in implementing precision medicine.
  • The American Society of Clinical Oncology's (ASCO) State of Cancer Care in America (SOCCA) event series addresses these implementation gaps.

Discussion:

  • This article summarizes opportunities and challenges in precision medicine based on the inaugural SOCCA event.
  • It highlights three successful models for implementing precision oncology in large, multisite community practices or networks.
  • These models demonstrate practical approaches to integrating advanced cancer treatments into community settings.

Key Insights:

  • Successful implementation hinges on practice innovations offering clinical decision support.
  • Molecular tumor boards and clinical pathways are crucial for guiding treatment decisions.
  • Administrative support for prior authorization and clinical trial matching is essential for large-scale programs.

Outlook:

  • Community practices can overcome precision medicine implementation barriers through strategic innovations.
  • Adoption of these models can improve access to cutting-edge cancer therapies for a broader patient population.
  • Continued development and sharing of best practices are vital for advancing precision oncology nationwide.

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