为全球实施临床基因组测序铺平道路:我们准备好了吗?
Deborah A Marshall1,2, Nicolle Hua1, James Buchanan3
1Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta T2N 4Z6, Canada.
Health affairs scholar
|May 24, 2024
概括
实施临床基因组测序 (CGS) 面临成本和政策差距等障碍. 解决系统准备和证据生成是全球CGS可访问性的关键.
科学领域:
- 基因组学就是基因组学.
- 卫生经济学 卫生经济学
- 卫生政策 卫生政策
背景情况:
- 临床基因组测序 (CGS) 是有前途的,但在全球面临重大实施障碍.
- 这些障碍包括缺乏标准化实践,经济评估,患者参与和高成本.
研究的目的:
- 在健康经济学和政策中描述CGS的全球格局.
- 为现有和未来的CGS实施障碍提出基于证据的解决方案.
主要方法:
- 全球经济学和临床基因组测序评估工作组 (GEECS) 的评论.
- 讨论重点集中在两个主题上:系统对CGS的准备以及证据,评估和审批流程.
主要成果:
- 确定了需要改进的关键领域:健康经济学,公共卫生,基础设施和运营考虑.
- 强调需要一个强大的,以患者和家庭为中心的证据基础,以CGS结果为中心.
结论:
- 成功实施CGS需要采用全面,协作和跨学科的方法.
- 解决系统准备和证据生成对于公平的全球CGS接入至关重要.
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