Applying an Implementation Science Approach to Genomic Medicine Workshop Summary (2016) / Chapter Skim
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1 Introduction and Themes of the Workshop
1 Introduction and Themes of the Workshop
Pages 1-6
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. Furthermore, the incorporation of genomic approaches into clinical care is taking place independently at medical centers throughout the country, and practices and health systems could benefit from structured collaboration, knowledge sharing, and an implementation 1 The planning committee's role was limited to planning the workshop.
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It has been difficult to bridge the gap between discoveries in genomics and positive population health outcomes, observed workshop co-chair Greg Feero, associate editor of the Journal of the American Medical Association, and implementation science may offer an opportunity to close that gap and provide cumulative knowledge that can be adopted and adapted so that "institutions are not forced to reinvent the wheel at each site every time." During the workshop, speakers and participants discussed the challenges and opportunities of integrating genomic advances into the clinic through the lens of implementation science, and by doing so they are "ready to talk about implementation in a new way," according to Roundtable co-chair Sharon Terry, president and chief executive officer of Genetic Alliance. The specific workshop objectives are provided in Box 1-1.
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Workshop speakers examined issues that pertain to advancing genomic medicine, including engaging diverse audiences in genomic medicine, gathering evidence during implementation, and using genomic medicine to improve population health. The underlying question throughout the workshop was, "How can implementation science help to address these challenges?
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Implementation Science and Population Health The integration of genomics into clinical care has the potential to improve public health at the population level, to expand our understanding of human diseases, and to increase genomic literacy. Programs run by state health departments, such as the Public Health Genomics Pro
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The evidence gathered during implementation can include measures of the knowledge and skills of providers, patient acceptance, external incentives, and health outcomes. This chapter features a case study on a proprietary program for health care providers that offers easily accessible information on cancer treatments and clinical trials.
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In Chapter 6, the value of using implementation science in genomics is considered, particularly as it relates to addressing health disparities, improving genomic literacy, and financing genetic approaches in clinical care. Potential ideas from individual speakers for actionable next steps are laid out in Chapter 6.
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