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Blending Insights from Implementation Science and the Social Sciences to Mitigate Inequities in Screening for Hereditary Cancer Syndromes

Bibliographic Data

ID15513193
AuthorsL Senier (0009-0008-9897-6752, Northeastern University, corresponding author), Colleen M Mcbride (0000-0001-6061-9815, Emory University), Alex T Ramsey (0000-0002-3471-3725, Washington University in St. Louis), Vence L Bonham (0000-0002-3649-5442, National Institutes of Health), David Chambers (0009-0002-1413-7801, National Cancer Institute), David A Chambers (0000-0002-5991-2827, National Cancer Institute)
Year2019
Volume16
Issue20
Pages3899-3899
Publication date2019-10-15
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph16203899
PMID31618814
OpenAlexW2979912336
LanguageEN
Citations received1
References cited84

Genomic screening to identify people at high risk for adult-onset hereditary conditions has potential to improve population health. However, if not equitably accessible, genomics-informed screening programs will exacerbate existing health inequities or give rise to new ones. To realize the disease prevention potential of these screening tools, we need strategies to broaden their reach. We propose a conceptual framework that merges insights from implementation science and sociological research on health inequities. Our framework does three things: first, it broadens the arenas of action beyond those typically addressed in implementation science frameworks; second, it argues for recruiting more diverse partners to share the work of implementation and dissemination; and third, it shows how implementation activities can be coordinated more effectively among those partners. We use screening for hereditary breast and ovarian cancers (HBOC) as a case to illustrate how this enhanced framework could guide implementation science and distribute the benefits of genomic medicine more equitably. Although our example is specific to genomics, this approach is more broadly applicable to the field of implementation science. Coordinated action among multiple stakeholders could translate a host of new technologies from the bench to the trench without creating new inequities or exacerbating existing ones

Action (physics · Biology · Business · Call to action · Conceptual framework · Data science · Engineering ethics · Environmental health · Genome · Genomics · Health care · Health equity · Political science · Population · Precision medicine · Public relations · Social science · Sociology · BRCA gene mutations in cancer · Computer Science · Engineering · Genomics and Rare Diseases · Medicine · Nutrition, Genetics, and Disease · Marketing

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Unique citing works1
Citations per year0,2
Citation span2021 - 2021 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1
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