Identification of Organisational Models for the Provision of Predictive Genomic Applications
De Vito C., Unim B., Cornel MC., Jani A., Gray M., Roldan J.
When evaluating proper delivery models of a genetic service, it is important to take into consideration the healthcare system and the genetic test provided within a specific programme. New delivery models should promote the integration of genetics into all medical specialties through the collaboration among different healthcare professionals and the redistribution of professional roles. The successful implementation of genomic applications into practice must go through the implementation of specific national policies, adequate funding along with increase of professional education in genomics medicine. To that effect, Clinical Decision Support Systems can effectively increase the ability of physicians to assess genetic risk and reduce the possibility of misdiagnosis to improve healthcare. A thorough analysis to understand if genomic information can be used to deliver better health outcomes for patients and populations must be carried out before integrating it into healthcare systems. For this purpose, a conceptual framework of outcomes-based healthcare systems to address whether genomic information can actually deliver value is also presented in this chapter.