Sökning: (WFRF:(Seufferlein Thomas)) > (2023) > Implementation of p...
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000 | 05400naa a2200685 4500 | |
001 | oai:lup.lub.lu.se:6c916092-0a8d-4d41-9a12-13efe01ec319 | |
003 | SwePub | |
008 | 231122s2023 | |||||||||||000 ||eng| | |
009 | oai:prod.swepub.kib.ki.se:153285277 | |
024 | 7 | a https://lup.lub.lu.se/record/6c916092-0a8d-4d41-9a12-13efe01ec3192 URI |
024 | 7 | a https://doi.org/10.1111/joim.136982 DOI |
024 | 7 | a http://kipublications.ki.se/Default.aspx?queryparsed=id:1532852772 URI |
040 | a (SwePub)lud (SwePub)ki | |
041 | a engb eng | |
042 | 9 SwePub | |
072 | 7 | a for2 swepub-publicationtype |
072 | 7 | a ref2 swepub-contenttype |
100 | 1 | a Stenzinger, Albrechtu University Hospital Heidelberg4 aut |
245 | 1 0 | a Implementation of precision medicine in healthcare—A European perspective |
264 | 1 | c 2023 |
300 | a 18 s. | |
520 | a The technical development of high-throughput sequencing technologies and the parallel development of targeted therapies in the last decade have enabled a transition from traditional medicine to personalized treatment and care. In this way, by using comprehensive genomic testing, more effective treatments with fewer side effects are provided to each patient—that is, precision or personalized medicine (PM). In several European countries—such as in England, France, Denmark, and Spain—the governments have adopted national strategies and taken “top-down” decisions to invest in national infrastructure for PM. In other countries—such as Sweden, Germany, and Italy with regionally organized healthcare systems—the profession has instead taken “bottom-up” initiatives to build competence networks and infrastructure to enable equal access to PM. In this review, we summarize key learnings at the European level on the implementation process to establish sustainable governance and organization for PM at the regional, national, and EU/international levels. We also discuss critical ethical and legal aspects of implementing PM, and the importance of access to real-world data and performing clinical trials for evidence generation, as well as the need for improved reimbursement models, increased cross-disciplinary education and patient involvement. In summary, PM represents a paradigm shift, and modernization of healthcare and all relevant stakeholders—that is, healthcare, academia, policymakers, industry, and patients—must be involved in this system transformation to create a sustainable, non-siloed ecosystem for precision healthcare that benefits our patients and society at large. | |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi0 (SwePub)303012 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Health Care Service and Management, Health Policy and Services and Health Economy0 (SwePub)303012 hsv//eng |
653 | a clinical trials | |
653 | a education and training | |
653 | a ethicolegal aspects | |
653 | a governance | |
653 | a patient advocacy | |
653 | a personalized medicine | |
653 | a precision medicine | |
653 | a real-world evidence | |
700 | 1 | a Moltzen, Ejner K.4 aut |
700 | 1 | a Winkler, Evau University Hospital Heidelberg4 aut |
700 | 1 | a Molnar-Gabor, Fruzsinau Heidelberg University4 aut |
700 | 1 | a Malek, Nisaru University Hospital of Tubingen4 aut |
700 | 1 | a Costescu, Alexandruu European Commission4 aut |
700 | 1 | a Jensen, Brigitte Nybo4 aut |
700 | 1 | a Nowak, Frédériqueu National Institute for Health and Medical Research, France4 aut |
700 | 1 | a Pinto, Carmine4 aut |
700 | 1 | a Ottersen, Ole Petteru Karolinska Institute4 aut |
700 | 1 | a Schirmacher, Peteru University Hospital Heidelberg4 aut |
700 | 1 | a Nordborg, Jenni4 aut |
700 | 1 | a Seufferlein, Thomasu University Hospital of Ulm4 aut |
700 | 1 | a Fröhling, Stefanu German Cancer Research Centre4 aut |
700 | 1 | a Edsjö, Andersu Lund University,Lunds universitet,Patologi, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Pathology, Lund,Section V,Department of Clinical Sciences, Lund,Faculty of Medicine,Genomic Medicine Sweden (GMS),Region Skåne4 aut0 (Swepub:lu)an7515ed |
700 | 1 | a Garcia-Foncillas, Jesusu Hospital Fundación Jiménez Díaz4 aut |
700 | 1 | a Normanno, Nicolau Istituto Nazionale dei Tumori4 aut |
700 | 1 | a Lundgren, Bettina4 aut |
700 | 1 | a Friedman, Mikaelau Karolinska Institutet,Karolinska Institute,Genomic Medicine Sweden (GMS)4 aut |
700 | 1 | a Bolanos, Natacha4 aut |
700 | 1 | a Tatton-Brown, Katrinau National Health Service Trust, NHS England,St George's, University of London4 aut |
700 | 1 | a Hill, Sueu National Health Service Trust, NHS England4 aut |
700 | 1 | a Rosenquist, Richardu Karolinska Institutet,Karolinska Institute,Genomic Medicine Sweden (GMS),Karolinska University Hospital4 aut |
710 | 2 | a University Hospital Heidelbergb Heidelberg University4 org |
773 | 0 | t Journal of Internal Medicineg 294:4, s. 437-454q 294:4<437-454x 0954-6820x 1365-2796 |
856 | 4 | u http://dx.doi.org/10.1111/joim.13698x freey FULLTEXT |
856 | 4 8 | u https://lup.lub.lu.se/record/6c916092-0a8d-4d41-9a12-13efe01ec319 |
856 | 4 8 | u https://doi.org/10.1111/joim.13698 |
856 | 4 8 | u http://kipublications.ki.se/Default.aspx?queryparsed=id:153285277 |
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