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      Leveraging Implementation Science to Address Health Disparities in Genomic Medicine: Examples from the Field

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      Ethnicity & Disease

      Ethnicity and Disease Inc

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          Abstract

          The integration of genomic data into screen­ing, prevention, diagnosis, and treatment for clinical and public health practices has been slow and challenging. Implementa­tion science can be applied in tackling the barriers and challenges as well as exploring opportunities and best practices for integrat­ing genomic data into routine clinical and public health practice. In this article, we de­fine the state of disparities in genomic medi­cine and focus predominantly on late-stage research findings. We use case studies from genetic testing for cardiovascular diseases (familial hypercholesterolemia) and cancer (Lynch syndrome and hereditary breast and ovarian cancer syndrome) in high-risk populations to consider current disparities and related barriers in turning genomic advances into population health impact to advance health equity. Finally, we address how implementation science can address these translational barriers and we discuss the strategic importance of collaborative multi-stakeholder approaches that engage public health agencies, professional societ­ies, academic health and research centers, community clinics, and patients and their families to work collectively to improve population health and reduce or eliminate health inequities.Ethn Dis. 2019;29(Suppl 1):187-192; doi:10.18865/ed.29.S1.187.

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          Author and article information

          Journal
          Ethnicity & Disease
          Ethn Dis
          Ethnicity and Disease Inc
          1945-0826
          1049-510X
          February 21 2019
          February 21 2019
          : 29
          : Suppl 1
          : 187-192
          Article
          10.18865/ed.29.S1.187
          6428174
          30906168
          1873e385-8c5d-447a-bdc2-38fc46f1a17a
          © 2019

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