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Egenis · Events

Dr. Hristina Petkova 'The response by health care systems to "niched" genetic testing: well- or ill-equipped or ‘fuzzy’ '

Seminar   10.11.2009






Dr Hristina Petkova, Research Assistant, WHO Project on Better Practice Palliative Care, King's College London

Organised by



University of Exeter,Egenis,Byrne House,St Germans Road,Exeter, EX4 4PJRoom no: GF7, Byrne House

Event details

Time: 3:30 - 5:00 PM

Innovation in genetics receives great public and political attention. In order for biomedical developments to fulfil the goals that make them so attractive - improvement in health, better quality of life - they need to travel from the laboratory to the individual patient and to routine clinical practice. How this occurs is the focus of this paper. It presents findings from analysis of the diffusion of diabetes genetic testing via two very different health care structures, the UK National Health Service and the German Statutory Insurance system. Each system provides its own mechanism(s) for adoption of innovation. Some elements may hinder, and some accelerate mainstream uptake of “niched” innovation. For example, underlying institutional forces of each health care system, such as central management in the UK vs. horizontal market based structure in Germany, are strong determinants of diffusion of genetic testing in both countries. Contingencies, such as favourable political climate or the involvement of key professionals in the implementation of “niched” genetic tests also influence the success or failure of the technology to reach patients, particularly in combination with “embedded” institutional features. The paper presents a model used in the doctoral thesis to compare how well- or ill- equipped institutions are to utilize what diabetes genetic testing has to offer.

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