Clinical Scorecard: Ensuring Equity in Precision Medicine: A Focus on Pediatric Care for All Children

At a Glance

Key Highlights

• Precision medicine aims to improve health outcomes by considering genetic, environmental, and lifestyle factors.
• Barriers to access persist for many children, particularly those from marginalized backgrounds.
• The PCH Equity framework emphasizes equitable access and representation in precision health innovations.
• Structural inequities shape access to genetic testing and therapies.
• Equity must be embedded in precision medicine to avoid amplifying existing disparities.

Guideline-Based Recommendations

Diagnosis

• Integrate demographic and contextual factors in precision medicine initiatives.

Management

• Ensure equitable access to genomic testing, advanced diagnostics, and targeted therapies.

Monitoring & Follow-up

• Assess who benefits from precision health innovations and who may be left behind.

Risks

• Potential for precision medicine to reproduce existing health disparities.

Patient & Prescribing Data

Children, especially those from structurally marginalized communities.

Access to precision health innovations must consider socioeconomic supports and cultural humility.

Clinical Best Practices

• Focus on equitable access to precision health innovations.
• Address barriers influencing access to genomic testing and advanced diagnostics.
• Complement precision medicine with investments in public health and universal access to care.

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