THE FUTURE OF MEDICINE, healthcare innovation through precision medicine: policy case study of Qatar

Qoronfleh, M. Walid; Chouchane, Lotfi; Mifsud, Borbála; Emadi, Maryam Al; Ismail, Said I.

doi:10.1186/s40504-020-00107-1

Cited by 32 publications

(29 citation statements)

References 39 publications

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“…Participants viewed PM as an innovative approach to care, which also aligns to previously published articles on healthcare innovation through PM [ 66 ], shedding light on the research objective to gather insight on the perceived potential of PM to the targeted professions. Obstacles to introducing innovation in patient care are not new, and therefore should also be considered within the context of this project.…”

Section: Discussionmentioning

confidence: 69%

Investigating acceptability of a training programme in precision medicine for frontline healthcare professionals: a mixed methods study

et al. 2022

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Background Precision Medicine offers tailored prevention, diagnosis, treatment and management to patients that considers genomics, lifestyle and environmental factors. If implementation of Precision Medicine is to advance, effective, focused upskilling of frontline healthcare professionals through quality continuing professional development is needed. This study reports on an evidence-based approach to needs assessment to investigate the current level of knowledge of Precision Medicine, acceptable content for training, the perceived potential of a more precision approach to patient care and motivation to participate in a training programme among pharmacists, advanced practice nurses and general practitioners. Investigating perceived needs can avoid a top-down approach and support a design that is fit for purpose to targeted professions. Methods This study reports on 2 focus groups (n = 12) delivered in French and German with equal professional participation of the targeted professions. The research objectives were investigated in two phases. During the first phase, a literature review and expert consultations were conducted to develop a definition of PM, patient cases and content for training. In a second phase, these investigations were further explored using focus groups to investigate acceptable learning objectives, the potential of PM to relevant professions and motivation of participants. Quantitative investigations using rating scales and visual analogues were incorporated. The focus groups were audio recorded, transcribed by intelligent verbatim and translated to English. NVivo was used for data analysis and interpretation following a hybrid approach using the Framework Method and thematic analysis. The analytical framework, Implementation Science, was applied to organise and present research data. Results Precision Medicine is considered a new topic area, largely unfamiliar to frontline healthcare professionals.. There was acceptance of a more precision approach to care among all participants with perceived positive implications for patients. Valuable insight was gathered on acceptable content and form for training. All participants expressed concerns on readiness within their professions which included an insufficient system infrastructure, a lack of time to attend needed training, a lack of clarity for use in practice and the time needed to build a support network. Conclusions A precision approach to patient care is on the horizon for health care professionals not only in hospital settings but also at the community level. Our results conclude that an adaptable and flexible training programme in PM is timely, contextually relevant and conducive to the needs of targeted health professions for successful implementation. A training programme in PM will require support across sectors and stakeholders, supporting insurance models, educated patients and integrated care supported by innovative technology. Implementation Science outcomes are a useful strategy towards design of an effective training programme that can have measurable impact in practice.

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Section: Discussionmentioning

confidence: 69%

Investigating acceptability of a training programme in precision medicine for frontline healthcare professionals: a mixed methods study

et al. 2022

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“…Participants largely viewed PM as an innovative approach to care, which also aligns to previously published articles on healthcare innovation through PM [43]. In this way PM does not seek to address one speci c healthcare gap in practice, rather to promote and implement innovation in patient care.…”

Section: Potentialmentioning

confidence: 73%

Investigating Needs to Develop Training in Precision Medicine for Frontline Healthcare Professionals: A Focus Group Study

Mitchell¹,

Jaccard²,

Schmitz³

et al. 2021

Preprint

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Background: Precision Medicine offers tailored prevention, diagnosis, treatment and management to patients that considers genomic, lifestyle and environmental factors. If implementation of PM is to advance, effective, focused upskilling of frontline healthcare workers through quality continuing professional development (CPD) is needed. This study reports on an evidence-based approach to needs assessment to investigate the acceptability of pharmacists, advanced practice nurses and general practitioners towards a national blended training programme in PM. Needs assessment avoids a top-down approach and supports a design that is fit for purpose, acceptable to the target professions and fills a perceived gap in current practice. Methods: This study reports on 2 focus groups (n=12) delivered in French and German with equal professional participation of the targeted professions. The focus groups were audio recorded, transcribed by intelligent verbatim and translated to English. NVivo was used for data analysis and interpretation following a hybrid approach using the Framework Method and thematic analysis.Results: Precision Medicine as a new topic is largely unfamiliar to frontline healthcare professionals. Insight was gathered on acceptable learning objectives and results will be validated with a follow up survey to a wider audience. All participants shared their concerns on their readiness to implement a precision approach within their professions. Additional raised points include insufficient system infrastructure and supporting network of experts, a lack of time to attend training, and a lack of clarity for use in practice.Conclusions: Our results conclude that an adaptable and flexible training programme in PM is timely, contextually relevant and conducive to the needs of targeted health professions for successful implementation. A training programme in PM will require support across sectors and stakeholders, supporting insurance models, educated patients and integrated care supported by innovative technology. Precision Medicine is on our horizon and it is not a question of if but when and to what extent Precision Medicine will become a new normal for frontline healthcare professionals.

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“…Besides that, of great interest in Qatar are rare cancers, further local faculty development, and the evolution of Qatar’s high-impact cancer research portfolio. A companion document, the “Qatar National Cancer Research Strategy”, in 2014, provided a framework to develop basic, clinical, and translational cancer research while at the same time developing national capacity and capability with the use of the excellent existing academic infrastructure [ 48 , 49 ]. The Qatar Foundation is heavily involved in the development of precision medicine.…”

Section: Resultsmentioning

confidence: 99%

Fighting Cancer around the World: A Framework for Action

et al. 2022

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Tackling cancer is a major challenge right on the global level. Europe is only the tip of an iceberg of cancer around the world. Prosperous developed countries share the same problems besetting Europe–and the countries and regions with fewer resources and less propitious conditions are in many cases struggling often heroically against a growing tide of disease. This paper offers a view on these geographically wider, but essentially similar, challenges, and on the prospects for and barriers to better results in this ceaseless battle. A series of panels have been organized by the European Alliance for Personalised Medicine (EAPM) to identify different aspects of cancer care around the globe. There is significant diversity in key issues such as NGS, RWE, molecular diagnostics, and reimbursement in different regions. In all, it leads to disparities in access and diagnostics, patients’ engagement, and efforts for a better understanding of cancer.

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THE FUTURE OF MEDICINE, healthcare innovation through precision medicine: policy case study of Qatar

Cited by 32 publications

References 39 publications

Investigating acceptability of a training programme in precision medicine for frontline healthcare professionals: a mixed methods study

Investigating acceptability of a training programme in precision medicine for frontline healthcare professionals: a mixed methods study

Investigating Needs to Develop Training in Precision Medicine for Frontline Healthcare Professionals: A Focus Group Study

Fighting Cancer around the World: A Framework for Action

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