Proactive process evaluation of precision medicine platforms: a roadmap

Background Precision and genomic medicine have significant potential to improve population health. However, despite rapid technological development and increasing data complexity, practical applications of precision medicine remain limited. There is also a lack of evaluation of unintended consequenc...

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Main Author: Kathrin Cresswell
Format: Article
Language:English
Published: BMJ Publishing Group 2025-07-01
Series:BMJ Health & Care Informatics
Online Access:https://informatics.bmj.com/content/32/1/e101434.full
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author Kathrin Cresswell
author_facet Kathrin Cresswell
author_sort Kathrin Cresswell
collection DOAJ
description Background Precision and genomic medicine have significant potential to improve population health. However, despite rapid technological development and increasing data complexity, practical applications of precision medicine remain limited. There is also a lack of evaluation of unintended consequences and a failure to use theory-based implementation frameworks to manage risks and ensure sustainability.Methods This work provides a conceptual overview of evaluation challenges related to precision medicine platforms, based on existing literature. It proposes a theory-informed proactive process evaluation framework to guide the development and assessment of these platforms.Results The proposed framework considers infrastructural, socio-organisational and system-level factors. It raises key questions, such as: How will platforms integrate with existing infrastructures? How will they transform care pathways and the delivery of care across settings?Conclusions Rapid technological advances challenge markets and regulatory environments. Agile evaluation approaches are crucial for building a sustainable innovation ecosystem for precision medicine platforms.
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spelling doaj-art-11dc59b1691c4b30b9bf482be41c2c8f2025-08-20T02:40:32ZengBMJ Publishing GroupBMJ Health & Care Informatics2632-10092025-07-0132110.1136/bmjhci-2025-101434Proactive process evaluation of precision medicine platforms: a roadmapKathrin Cresswell0Usher Institute, University of Edinburgh College of Medicine and Veterinary Medicine, Edinburgh, UKBackground Precision and genomic medicine have significant potential to improve population health. However, despite rapid technological development and increasing data complexity, practical applications of precision medicine remain limited. There is also a lack of evaluation of unintended consequences and a failure to use theory-based implementation frameworks to manage risks and ensure sustainability.Methods This work provides a conceptual overview of evaluation challenges related to precision medicine platforms, based on existing literature. It proposes a theory-informed proactive process evaluation framework to guide the development and assessment of these platforms.Results The proposed framework considers infrastructural, socio-organisational and system-level factors. It raises key questions, such as: How will platforms integrate with existing infrastructures? How will they transform care pathways and the delivery of care across settings?Conclusions Rapid technological advances challenge markets and regulatory environments. Agile evaluation approaches are crucial for building a sustainable innovation ecosystem for precision medicine platforms.https://informatics.bmj.com/content/32/1/e101434.full
spellingShingle Kathrin Cresswell
Proactive process evaluation of precision medicine platforms: a roadmap
BMJ Health & Care Informatics
title Proactive process evaluation of precision medicine platforms: a roadmap
title_full Proactive process evaluation of precision medicine platforms: a roadmap
title_fullStr Proactive process evaluation of precision medicine platforms: a roadmap
title_full_unstemmed Proactive process evaluation of precision medicine platforms: a roadmap
title_short Proactive process evaluation of precision medicine platforms: a roadmap
title_sort proactive process evaluation of precision medicine platforms a roadmap
url https://informatics.bmj.com/content/32/1/e101434.full
work_keys_str_mv AT kathrincresswell proactiveprocessevaluationofprecisionmedicineplatformsaroadmap