“Equity” in genomic health policies: a review of policies in the international arena
2024

Equity in Genomic Health Policies: A Review

Sample size: 17 publication 10 minutes Evidence: moderate

Author Information

Author(s): Basnayake Ralalage Prabhathi, Mitchell Tala, Zammit Claire, Baynam Gareth, Kowal Emma, Masey Libby, McGaughran Julie, Boughtwood Tiffany, Jenkins Misty, Pratt Gregory, Ferdinand Angeline

Primary Institution: Centre for Health Policy, Melbourne School of Population and Global Health, University of Melbourne

Hypothesis

How is equity in access to genomic care addressed in international health policies?

Conclusion

The review found significant gaps in the inclusion of equity in genomic health policies, particularly regarding vulnerable populations.

Supporting Evidence

  • Access to genomic health services is often inequitable, particularly for Indigenous and minority populations.
  • Policies frequently mention access but lack specific actions to improve equity.
  • Integration of genomic services into mainstream healthcare is recommended to enhance access.

Takeaway

This study looked at how fair access to genomic health services is in different countries, finding that many policies don't do enough to help everyone, especially those who are often left out.

Methodology

A systematic review of 17 genomic health policies from various countries was conducted using the EquiFrame framework to assess equity inclusion.

Potential Biases

Potential biases may arise from the limited representation of vulnerable populations in the policies reviewed.

Limitations

The review primarily focused on high-income countries, which may not capture the full range of equity issues in low- and middle-income countries.

Participant Demographics

Policies included references to Indigenous populations, culturally and linguistically diverse groups, and those living in rural areas.

Digital Object Identifier (DOI)

10.3389/fpubh.2024.1464701

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