Genomic Testing for Human Health and Disease Across the Life Cycle: Applications and Ethical, Legal, and Social Challenges.

clinical utility genetic disease genomic data genomic testing genomics healthcare molecular diagnostics public health

Journal

Frontiers in public health
ISSN: 2296-2565
Titre abrégé: Front Public Health
Pays: Switzerland
ID NLM: 101616579

Informations de publication

Date de publication:
2019
Historique:
received: 17 09 2018
accepted: 14 02 2019
entrez: 28 3 2019
pubmed: 28 3 2019
medline: 28 3 2019
Statut: epublish

Résumé

The expanding use of genomic technologies encompasses all phases of life, from the embryo to the elderly, and even the posthumous phase. In this paper, we present the spectrum of genomic healthcare applications, and describe their scope and challenges at different stages of the life cycle. The integration of genomic technology into healthcare presents unique ethical issues that challenge traditional aspects of healthcare delivery. These challenges include the different definitions of utility as applied to genomic information; the particular characteristics of genetic data that influence how it might be protected, used and shared; and the difficulties applying existing models of informed consent, and how new consent models might be needed.

Identifiants

pubmed: 30915323
doi: 10.3389/fpubh.2019.00040
pmc: PMC6421958
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

40

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Auteurs

Gemma A Bilkey (GA)

Office of Population Health Genomics, Public and Aboriginal Health Division, Department of Health, Government of Western Australia, East Perth, WA, Australia.
Office of the Chief Health Officer, Public and Aboriginal Health Division, Department of Health, Government of Western Australia, East Perth, WA, Australia.

Belinda L Burns (BL)

Office of Population Health Genomics, Public and Aboriginal Health Division, Department of Health, Government of Western Australia, East Perth, WA, Australia.

Emily P Coles (EP)

Office of Population Health Genomics, Public and Aboriginal Health Division, Department of Health, Government of Western Australia, East Perth, WA, Australia.

Faye L Bowman (FL)

Office of Population Health Genomics, Public and Aboriginal Health Division, Department of Health, Government of Western Australia, East Perth, WA, Australia.

John P Beilby (JP)

PathWest Laboratory Medicine, Sir Charles Gairdner Hospital, Nedlands, WA, Australia.
Faculty of Health and Medical Sciences, School of Biomedical Sciences, The University of Western Australia, Crawley, WA, Australia.

Nicholas S Pachter (NS)

Genetic Services of Western Australia, King Edward Memorial Hospital, Department of Health, Government of Western Australia, Subiaco, WA, Australia.
Faculty of Health and Medical Sciences, School of Medicine, The University of Western Australia, Crawley, WA, Australia.

Gareth Baynam (G)

Office of Population Health Genomics, Public and Aboriginal Health Division, Department of Health, Government of Western Australia, East Perth, WA, Australia.
Genetic Services of Western Australia, King Edward Memorial Hospital, Department of Health, Government of Western Australia, Subiaco, WA, Australia.
Faculty of Health and Medical Sciences, School of Medicine, The University of Western Australia, Crawley, WA, Australia.
Western Australian Register of Developmental Anomalies, King Edward Memorial Hospital, Department of Health, Government of Western Australia, Subiaco, WA, Australia.
Centre for Child Health Research, The University of Western Australia and Telethon Kids Institute, Perth, WA, Australia.

Hugh J S Dawkins (H)

Office of Population Health Genomics, Public and Aboriginal Health Division, Department of Health, Government of Western Australia, East Perth, WA, Australia.
Faculty of Health and Medical Sciences, School of Biomedical Sciences, The University of Western Australia, Crawley, WA, Australia.
Sir Walter Murdoch School of Policy and International Affairs, Murdoch University, Murdoch, WA, Australia.
School of Public Health, Curtin University of Technology, Bentley, WA, Australia.

Kristen J Nowak (KJ)

Office of Population Health Genomics, Public and Aboriginal Health Division, Department of Health, Government of Western Australia, East Perth, WA, Australia.
Faculty of Health and Medical Sciences, School of Biomedical Sciences, The University of Western Australia, Crawley, WA, Australia.
Harry Perkins Institute of Medical Research, QEII Medical Centre, Nedlands, WA, Australia.

Tarun S Weeramanthri (TS)

Office of the Chief Health Officer, Public and Aboriginal Health Division, Department of Health, Government of Western Australia, East Perth, WA, Australia.
Faculty of Health and Medical Sciences, School of Population and Global Health, The University of Western Australia, Crawley, WA, Australia.

Classifications MeSH