A health services research agenda for cellular, molecular and genomic technologies in cancer care

Public Health Genomics. 2009;12(4):233-44. doi: 10.1159/000203779. Epub 2009 Feb 20.

Abstract

Background: In recent decades, extensive resources have been invested to develop cellular, molecular and genomic technologies with clinical applications that span the continuum of cancer care.

Methods: In December 2006, the National Cancer Institute sponsored the first workshop to uniquely examine the state of health services research on cancer-related cellular, molecular and genomic technologies and identify challenges and priorities for expanding the evidence base on their effectiveness in routine care.

Results: This article summarizes the workshop outcomes, which included development of a comprehensive research agenda that incorporates health and safety endpoints, utilization patterns, patient and provider preferences, quality of care and access, disparities, economics and decision modeling, trends in cancer outcomes, and health-related quality of life among target populations.

Conclusions: Ultimately, the successful adoption of useful technologies will depend on understanding and influencing the patient, provider, health care system and societal factors that contribute to their uptake and effectiveness in 'real-world' settings.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Continuity of Patient Care
  • Genomics*
  • Health Services Accessibility
  • Health Services Research / organization & administration*
  • Humans
  • Neoplasms / genetics
  • Neoplasms / therapy*
  • Quality of Health Care
  • Social Justice