Skip to main content

Policy and Personalized Oral Health Care

  • Chapter
  • First Online:
Personalized Oral Health Care

Abstract

Policy—whether promulgated by government, professions, business, providers, or others—determines priorities and establishes how things are done. When applied to personalized oral healthcare, polices established by these interests may advance or impede application of science to practice with both intended and unintended consequences. Federal science and technology policy will substantially impact how personalized medicine and dentistry are advanced through scientific discovery, how the public gains an understanding of these novel approaches, and how advances in care will be integrated into health insurance coverage. Federal health policy can be expected to accelerate an existing shift from healthcare systems to health-promoting systems with attendant cost and outcome accountability. Financial incentives inherent in such health-promoting systems are intended to engage healthcare providers in mitigating risks and addressing health determinants which can be identified through genetic and epigenetic studies.

Confidentiality concerns can be expected to remain paramount to policymakers even as tensions between privacy and utility expand with greater volumes of genetic testing. The future of policymaking can be anticipated to be as dynamic and far-reaching as the field of healthcare genomics itself. Whether policymaking, in the end, will keep up with science and whether it will facilitate or hamper the institutionalization of personalized medicine and dentistry are yet to be seen.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 159.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. The Robert Wood Johnson Health Policy Fellowship Program. Unintended consequences of health policy programs and policies: workshop summary. Institute of Medicine; 2001. Available at http://www.nap.edu/catalog/10192/unintended-consequences-of-health-policy-programs-and-policies-workshop-summary. doi:10.17226/10192. Accessed 18 Nov 2015.

  2. Miriam Webster Online Dictionary. “Definition of policy”. Merriam-Webster. Undated. Available at http://www.merriam-webster.com/dictionary/policy. Accessed 18 Nov 2015.

  3. Stine DD. Science and Technology Policymaking: a Primer. Congressional Research Services of the Library of Congress, 1997. http://fas.org/sgp/crs/misc/RL34454.pdf.

  4. National Institutes of Health. Funding opportunity announcement HG-13-004. Genomic medicine pilot demonstration projects (U01). National Human Genome Research Institute; 2013. Available at http://grants.nih.gov/grants/guide/rfa-files/RFA-HG-13-004.html. Accessed 18 Nov 2015.

  5. Patient Centered Outcomes Research Institute. National priorities for research and research agenda 2012. Patient Centered Outcomes Research Institute. Available at http://www.pcori.org/sites/default/files/PCORI-National-Priorities-and-Research-Agenda-2012-05-21-FINAL1.pdf. Accessed 18 Nov 2015.

  6. Centers for Medicare and Medicaid Services. Innovation models. US Department of Health and Human Services. Available at https://innovation.cms.gov/initiatives/#views=models. Accessed 18 Nov 2015.

  7. Shin A. Paying for personalized medicine: How alternative payment models could help or hinder the field. Personalized Medicine Coalition, Washington, DC; Undated. p. 40. Available at http://www.personalizedmedicinecoalition.org/Userfiles/PMCCorporate/file/paying_for_personalized_medicine.pdf. Accessed 20 Nov 2015.

  8. National Human Genome Research Institute. Other federal agencies involved in genomics. National Institutes of Health, US Department of Health and Human Services; 2015. Available at http://www.genome.gov/10003899. Accessed 20 Nov 2015.

  9. Genomic Science Program. About the DOE Systems Biology Knowledgebase (KBase). U.S. Department of Energy Office of Science; 2015. Available at http://genomicscience.energy.gov/compbio/kbaseindex.shtml. Accessed 20 Nov 15.

  10. National Human Genome Research Institute. Direct to consumer marketing of genetic tests (archived). National Institutes of Health, US Department of Health and Human Services; 2004. Available at http://www.genome.gov/12010659. Accessed 20 Nov 2015.

  11. Wagner EH. Chronic disease management: what will it take to improve care for chronic illness? Eff Clin Pract. 1998;1:2–4. http://www.improvingchroniccare.org/index.php?p=The_Chronic_CareModel&s=2.

  12. NIH News in Health. Personalized medicine: matching treatments to your genes. National Institutes of Health, US Department of Health and Human Services; 2013. Available at http://newsinhealth.nih.gov/issue/dec2013/feature1. Accessed 20 Nov 2015.

  13. Centers for Disease Control and Prevention. Public health genomics, precision medicine: implementation science and public health. Centers for Disease Control and Prevention, US Department of Health and Human Services; 2015. Available at http://www.cdc.gov/genomics. Accessed 20 Nov 2015.

  14. Food and Drug Administration. Genomics. Food and Drug Administration, US Department of Health and Human Services; 2015. Available at http://www.fda.gov/Drugs/ScienceResearch/ResearchAreas/Pharmacogenetics/. Accessed 20 Nov 2015.

  15. Soto MA. Population health in the Affordable Care Act era. Washington, DC: Academy Health; 2013. Available at http://www.academyhealth.org/files/AH2013pophealth.pdf.

    Google Scholar 

  16. Center for Medicare and Medicaid Innovation. Our mission. Centers for Medicare and Medicaid, US Department of Health and Human Services. Available at https://innovation.cms.gov/about/Our-Mission/index.html. Accessed 18 July 2015.

  17. Jakka S, Rossbach M. An economic perspective on personalized medicine. Hum Genome Org J. 2013;7:1. doi:10.1186/1877-6566-7-1.

    Article  Google Scholar 

  18. Gawande A. Medical report: the hot spotters – can we lower medical costs by giving the neediest patients better care? The New Yorker Magazine. January 24, 2011. Available at http://www.newyorker.com/magazine/2011/01/24/the-hot-spotters.

  19. Alzu’bi A, Zhou L, Watzlaf V. Personal genomic information management and personalized medicine: challenges, current solutions, and roles of HIM professionals. Perspect Health Inf Manag. 2014;11:1c. Available at http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3995490/.

  20. National Human Genome Research Institute. Federal policy recommendations including HIPAA. National Institutes of Health, US Department of Health and Human Services; 2012. Available at http://www.genome.gov/11510216 . Accessed 20 Nov 2015.

  21. US Equal Employment Opportunity Commission. The Genetic Information Nondiscrimination Act of 2008. US Equal Employment Opportunity Commission; 2008. Available at http://www.eeoc.gov/laws/statutes/gina.cfm. Accessed 20 Nov 2015.

  22. National Human Genome Research Institute. NHGRI policy roundtable summary, the future of genomic medicine: policy implications for research and medicine (archived). Bethesda; 2005. Available at http://www.genome.gov/17516574. Accessed 20 Nov 2015.

  23. DentaQuest Institute. Report of the National Oral Health Quality Improvement Committee: a vision for the US oral health system for 2023. Westborough: DentaQuest Institute; 2014.

    Google Scholar 

  24. Woolhandler S, Himmelstein DU. Book review: understanding health care reform, medicine’s dilemmas: infinite needs versus finite resources. N Engl J Med. 1994;331:1779. doi:10.1056/NEJM199412293312619.

    Article  Google Scholar 

  25. Institute for Healthcare Improvement. About US, History. Institute for Healthcare Improvement; Undated. Available at http://www.ihi.org/about/pages/history.aspx. Accessed 20 Nov 2015.

  26. American Public Health Association. Affordable Care Act overview selected provisions. 2012. Available at http://www.apha.org/~/media/files/pdf/topics/aca/aca_overview_aug2012.ashx . Accessed 20 Nov 2015.

  27. Robert Wood Johnson Foundation. What Consumer Protections are Embedded in the Affordable Care Act? Health policy snapshot series. Robert Wood Johnson Foundation; 2011. Available at http://www.rwjf.org/en/research-publications/find-rwjf-research/2011/08/what-consumer-protections-are-embedded-in-the-affordable-care-ac.html . Accessed 20 Nov 2015.

  28. Stiefel M, Nolan K. A guide to measuring the triple aim: population health, experience of care, and per capita cost. IHI innovation series white paper. Cambridge, MA: Institute for Healthcare Improvement; 2012.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Burton L. Edelstein DDS, MPH .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Edelstein, B.L. (2015). Policy and Personalized Oral Health Care. In: Polverini, P. (eds) Personalized Oral Health Care. Springer, Cham. https://doi.org/10.1007/978-3-319-23297-3_11

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-23297-3_11

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-23296-6

  • Online ISBN: 978-3-319-23297-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics