The Implementation Chasm Hindering Genome-informed Health Care

Kevin B. Johnson, Ellen Wright Clayton, Justin Starren, Josh Peterson

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


The promises of precision medicine are often heralded in the medical and lay literature, but routine integration of genomics in clinical practice is still limited. While the “last mile’ infrastructure to bring genomics to the bedside has been demonstrated in some healthcare settings, a number of challenges remain — both in the receptivity of today's health system and in its technical and educational readiness to respond to this evolution in care. To improve the impact of genomics on health and disease management, we will need to integrate both new knowledge and new care processes into existing workflows. This change will be onerous and time-consuming, but hopefully valuable to the provision of high quality, economically feasible care worldwide.

Original languageEnglish (US)
Pages (from-to)119-125
Number of pages7
JournalJournal of Law, Medicine and Ethics
Issue number1
StatePublished - Mar 1 2020

ASJC Scopus subject areas

  • Health Policy
  • Issues, ethics and legal aspects


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