倡导和行动以解决基因组医疗保健获取方面的差异：国家科学院研讨会的报告。
Advocacy and actions to address disparities in access to genomic health care: A report on a National Academies workshop.
机构信息
College of Nursing, The University of Iowa, Iowa City, IA; American Academy of Nursing, Washington, DC.
National Human Genome Research Institute, National Institutes of Health, Bethesda, MD.
出版信息
Nurs Outlook. 2019 Sep-Oct;67(5):605-612. doi: 10.1016/j.outlook.2019.06.004. Epub 2019 Jun 18.
BACKGROUND
In the United States, access to genomic risk assessment, testing, and follow up care is most easily obtained by those who have sufficient financial, educational, and social resources. Multiple barriers limit the ability of populations without those resources to benefit from health care that integrates genomics in assessment of disease risk, diagnosis, and targeted treatment.
PURPOSE
To summarize barriers and potential actions to reduce genomic health care disparities.
METHOD
Summarize authors' views on discussions at a workshop hosted by the National Academy of Medicine.
DISCUSSION
Barriers include access to health care providers that utilize genomics, genetic literacy of providers and patients, and absence of evidence of gene variants importance in ancestrally diverse underserved populations.
CONCLUSION
Engagement between underserved communities, health care providers, and policy makers is an essential component to raise awareness and seek solutions to barriers in access to genomic health care for all populations.
背景
在美国，那些拥有充足的经济、教育和社会资源的人最容易获得基因组风险评估、检测和后续护理服务。多种障碍限制了那些缺乏资源的人群从将基因组学纳入疾病风险评估、诊断和靶向治疗的医疗保健中获益的能力。
目的
总结减少基因组医疗保健差异的障碍和潜在措施。
方法
总结作者对美国国家医学院主办的研讨会讨论的看法。
讨论
障碍包括获得利用基因组学的医疗保健提供者、提供者和患者的遗传知识素养，以及缺乏在遗传背景多样化的服务不足人群中基因变异重要性的证据。
结论
服务不足的社区、医疗保健提供者和政策制定者之间的参与是提高对所有人获得基因组医疗保健的障碍的认识并寻求解决方案的重要组成部分。
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