Queensland Genomics: an adaptive approach for integrating genomics into a public healthcare system
Abstract The establishment of genomics in health care systems has been occurring for the past decade. It is recognised that implementing genomics within a health service is challenging without a system-wide approach. Globally, as clinical genomics implementation programs have matured there is a grow...
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Nature Portfolio
2021
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oai:doaj.org-article:71aff2e4818d4b42b440031c9d380de52021-12-02T18:00:09ZQueensland Genomics: an adaptive approach for integrating genomics into a public healthcare system10.1038/s41525-021-00234-42056-7944https://doaj.org/article/71aff2e4818d4b42b440031c9d380de52021-08-01T00:00:00Zhttps://doi.org/10.1038/s41525-021-00234-4https://doaj.org/toc/2056-7944Abstract The establishment of genomics in health care systems has been occurring for the past decade. It is recognised that implementing genomics within a health service is challenging without a system-wide approach. Globally, as clinical genomics implementation programs have matured there is a growing body of information around program design and outcomes. Program structures vary depending on local ecosystems including the health system, politics and funding availability, however, lessons from other programs are important to the design of programs in different jurisdictions. Here we describe an adaptive approach to the implementation of genomics into a publicly funded health care system servicing a population of 5.1 million people. The adaptive approach enabled flexibility to facilitate substantial changes during the program in response to learnings and external factors. We report the benefits and challenges experienced by the program, particularly in relation to the engagement of people and services, and the design of both individual projects and the program as a whole.Miranda E. VidgenDayna WilliamsonKatrina CutlerClaire McCaffertyRobyn L. WardKeith McNeilNicola WaddellDavid BunkerNature PortfolioarticleMedicineRGeneticsQH426-470ENnpj Genomic Medicine, Vol 6, Iss 1, Pp 1-10 (2021) |
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DOAJ |
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Medicine R Genetics QH426-470 |
spellingShingle |
Medicine R Genetics QH426-470 Miranda E. Vidgen Dayna Williamson Katrina Cutler Claire McCafferty Robyn L. Ward Keith McNeil Nicola Waddell David Bunker Queensland Genomics: an adaptive approach for integrating genomics into a public healthcare system |
description |
Abstract The establishment of genomics in health care systems has been occurring for the past decade. It is recognised that implementing genomics within a health service is challenging without a system-wide approach. Globally, as clinical genomics implementation programs have matured there is a growing body of information around program design and outcomes. Program structures vary depending on local ecosystems including the health system, politics and funding availability, however, lessons from other programs are important to the design of programs in different jurisdictions. Here we describe an adaptive approach to the implementation of genomics into a publicly funded health care system servicing a population of 5.1 million people. The adaptive approach enabled flexibility to facilitate substantial changes during the program in response to learnings and external factors. We report the benefits and challenges experienced by the program, particularly in relation to the engagement of people and services, and the design of both individual projects and the program as a whole. |
format |
article |
author |
Miranda E. Vidgen Dayna Williamson Katrina Cutler Claire McCafferty Robyn L. Ward Keith McNeil Nicola Waddell David Bunker |
author_facet |
Miranda E. Vidgen Dayna Williamson Katrina Cutler Claire McCafferty Robyn L. Ward Keith McNeil Nicola Waddell David Bunker |
author_sort |
Miranda E. Vidgen |
title |
Queensland Genomics: an adaptive approach for integrating genomics into a public healthcare system |
title_short |
Queensland Genomics: an adaptive approach for integrating genomics into a public healthcare system |
title_full |
Queensland Genomics: an adaptive approach for integrating genomics into a public healthcare system |
title_fullStr |
Queensland Genomics: an adaptive approach for integrating genomics into a public healthcare system |
title_full_unstemmed |
Queensland Genomics: an adaptive approach for integrating genomics into a public healthcare system |
title_sort |
queensland genomics: an adaptive approach for integrating genomics into a public healthcare system |
publisher |
Nature Portfolio |
publishDate |
2021 |
url |
https://doaj.org/article/71aff2e4818d4b42b440031c9d380de5 |
work_keys_str_mv |
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1718378997371371520 |