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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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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.

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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.