作者: Deborah J. MacDonald , Kathleen R. Blazer , Jeffrey N. Weitzel
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摘要: Rapidly evolving genetic and genomic technologies for cancer risk assessment (GCRA) are revolutionizing the approach to targeted therapy screening prevention, heralding era of personalized medicine. Although many academic medical centers provide GCRA services, most people receive their care in community setting. However, few clinicians have knowledge or time needed adequately select, apply, interpret genetic/genomic tests. This article describes alternative approaches delivery profiling City Hope Cancer Screening & Prevention Program Network (CSPPN) community-based health center partnership as a model highest-quality evidence-based services while promoting research participation Growth CSPPN was enabled by information technology, with videoconferencing telemedicine Web conferencing remote interdisciplinary genetics tumor boards. Grant support facilitated establishment an underserved minority outreach clinic regional County hospital. Innovative clinician education, collaboration powerful tools extend expertise from National Institute-designated Comprehensive Center, enabling diffusion evidenced-base best practice into