Evidence map›Paper›PMID 32875630›Full record

ArticleThe International journal of health planning and management2020

Incorporating genomic medicine into primary-level health care for chronic non-communicable diseases in Mexico: A qualitative study.

María L Bravo, Tania M Santiago-Angelino, Luz M González-Robledo, Gustavo Nigenda, Jacqueline A Seiglie, Edson Serván-Mori

Abstract read
In one paragraph

Article in The International journal of health planning and management, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

María L BravoCenter for Health Systems Research, National Institute of Public Health, Cuernavaca, Morelos, Mexico.
Tania M Santiago-AngelinoCenter for Health Systems Research, National Institute of Public Health, Cuernavaca, Morelos, Mexico.
Luz M González-RobledoSchool of Medicine, Autonomous University of the State of Morelos, Cuernavaca, Mexico.
Gustavo NigendaNational School of Nursing and Obstetrics, National Autonomous University of Mexico, Mexico City, Mexico.
Jacqueline A SeiglieMassachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Edson Serván-MoriCenter for Health Systems Research, National Institute of Public Health, Cuernavaca, Morelos, Mexico.ORCID https://orcid.org/0000-0001-9820-8325

Funding

TRAINING PROGRAM IN ENDOCRINOLOGY AND DIABETEST32DK007028 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI Karen K Miller · 1986 to 2026
$18.5M
National Council of Science and Technology (CONACyT) of Mexico 243472NIDDK NIH HHS L30 DK122468NIDDK NIH HHS T32 DK007028
6 · The paper itself

Abstract

objectiveTo analyze the viability of incorporating genomic medicine technology into the process of detecting and diagnosing chronic non-communicable diseases (CNCDs) at primary-care facilities in Mexico, and to discuss its implications for health systems in other countries with similar characteristics. MATERIAL AND

methodsWe conducted 29 semi-structured interviews with health authorities as well as providers and users of health services in the state of Morelos. We investigated knowledge of genomic technology among interviewees; the accessibility, management, and organization of health services; and CNCDs prevention, control, and care practices.

resultsThe incorporation of genomic medicine technology into the CNCDs primary-care process is viable. However, the following challenges were identified: a lack of knowledge and limited information among interviewees regarding the effectiveness and benefits of genomic medicine technology, coupled with the need to mobilize and reassign trained human resources for drawing, registering, safeguarding, transporting, and controlling the quality of the genetic samples, as well as for the outsourcing of private laboratory services.

conclusionUsing genetic information to detect CNCDs at an early stage offers an enormous potential for upgrading CNCDs prevention and control efforts. This, in turn, could translate into more efficient and financially sustainable health systems in Mexico and other low- and middle-income countries.

Indexed as

Noncommunicable DiseasesDelivery of Health CareGenomicsHumansMexicoPrimary Health CareCNCDsfeasibilitygenomicsimplementationprimary health care

Identifiers

PMID32875630
PMCPMC7978503

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.