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The Center for Translational and Policy Research on Personalized Medicine Basic Research Clinical Research Policy Research Adoption Outcomes Who has access to intervention s? How do we trade-off between preferences, costs, and benefits? …and we must answer these questions…. Adoption What evidence do decisionmake rs need? How to translate knowledge to real world? How can we consider diversit y? To improve patient outcomes, new technologies must move through the Translational Continuum….

Panacea or Pandora's Box? The $1,000 Genome is Here - Now What Do We Do?

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Powerpoint Presentation by: Kathryn A. Phillips, PhD Professor of Health Economics and Health Services Research

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Page 1: Panacea or Pandora's Box? The $1,000 Genome is Here - Now What Do We Do?

The Center for Translational and Policy Research on Personalized Medicine

Basic Research

Clinical Research

Policy ResearchAdoption

Outcomes

Who has access to interventions?

How do we trade-off between

preferences, costs, and benefits?

…and we must answer these questions….

Adoption

What evidence do decisionmakers

need?

How to translate knowledge to real world?

How can we consider diversity?

To improve patient outcomes, new technologies must move through the Translational Continuum….

Page 2: Panacea or Pandora's Box? The $1,000 Genome is Here - Now What Do We Do?

We Can’t Address Issues Alone

Page 3: Panacea or Pandora's Box? The $1,000 Genome is Here - Now What Do We Do?

Patient Advocates

Aca-demic Groups

Gov-ernment Groups

Professional Organiza-tions

Health Plans and Payers

Industry & Ven-

ture Capital Labs

Pharmacy Benefit Managers

TRANSPERS is Integrated Across

Stakeholders

Page 4: Panacea or Pandora's Box? The $1,000 Genome is Here - Now What Do We Do?

TRANSPERS Uses Toolbox of Social Science Approaches & Methods…

Page 5: Panacea or Pandora's Box? The $1,000 Genome is Here - Now What Do We Do?

…To Understand Health Policy Issues…

Page 6: Panacea or Pandora's Box? The $1,000 Genome is Here - Now What Do We Do?

…In the Brave New World of New Technologies & Personalized Medicine

Page 7: Panacea or Pandora's Box? The $1,000 Genome is Here - Now What Do We Do?

Personalized Medicine is Here Now – and is the Wave of the Future

But a Deluge of Information

Page 8: Panacea or Pandora's Box? The $1,000 Genome is Here - Now What Do We Do?

1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20110

100200300400500600700800900

10001100120013001400150016001700180019002000210022002300240025002600

www.GeneTests.org. Univ of WA

Number of Diseases for Which Genetic Tests are Available Rapidly Increasing

Page 9: Panacea or Pandora's Box? The $1,000 Genome is Here - Now What Do We Do?

Cost of Whole Genome Sequencing is Falling

Page 10: Panacea or Pandora's Box? The $1,000 Genome is Here - Now What Do We Do?

Now the Big Challenge: Having It All

Page 11: Panacea or Pandora's Box? The $1,000 Genome is Here - Now What Do We Do?

New TRANSPERS StudyBenefit-Risk Tradeoffs for Whole Genome Sequencing

• How do patients and providers value information provided?

• Will sequencing will be covered by payers?• Will value outweigh costs?

– PI: Kathryn A. Phillips UCSF, 2013-2017, $2.4M– With Harvard Medical School

Page 12: Panacea or Pandora's Box? The $1,000 Genome is Here - Now What Do We Do?

For More Information

http://transpers.ucsf.edu

[email protected]

[email protected]