Between personalized and racialized precision medicine : a relative resources perspective

Since the completion of the first human genome sequencing project in 2003, the potential for incorporating genomics into clinical practice in the pursuit of precision medicine has garnered a great amount of attention and interest. Existing literature presents a dichotomous view of the future of medi...

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Main Author: Sun, Shirley
Other Authors: School of Social Sciences
Format: Journal Article
Language:English
Published: 2020
Subjects:
Online Access:https://hdl.handle.net/10356/143462
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author Sun, Shirley
author2 School of Social Sciences
author_facet School of Social Sciences
Sun, Shirley
author_sort Sun, Shirley
collection NTU
description Since the completion of the first human genome sequencing project in 2003, the potential for incorporating genomics into clinical practice in the pursuit of precision medicine has garnered a great amount of attention and interest. Existing literature presents a dichotomous view of the future of medicine: either precision medicine will replace race-based medicine or race-based medicine will persist despite developments in genetic research and genomic medicine. Drawing on interview data with 46 physicians and scientists in the USA, Canada, and Singapore who are conducting research or practicing precision medicine in the context of cancer treatment and prevention, this article attempts to contribute to the existing debate by proposing a ‘relative resources’ perspective to explain which approach will dominate in a particular healthcare setting. The author elaborates on the ‘heterogeneity of resources’ and suggests that the extent to which precision medicine will be personalized or racialized/ethnicized in the clinic will most likely be a function of the relative availability of resources – including but not limited to financial, human and computer informatics, and legal and infrastructural resources – at individual and collective levels in healthcare contexts.
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spelling ntu-10356/1434622020-09-03T01:42:21Z Between personalized and racialized precision medicine : a relative resources perspective Sun, Shirley School of Social Sciences Social sciences::General Clinic Ethnicity Since the completion of the first human genome sequencing project in 2003, the potential for incorporating genomics into clinical practice in the pursuit of precision medicine has garnered a great amount of attention and interest. Existing literature presents a dichotomous view of the future of medicine: either precision medicine will replace race-based medicine or race-based medicine will persist despite developments in genetic research and genomic medicine. Drawing on interview data with 46 physicians and scientists in the USA, Canada, and Singapore who are conducting research or practicing precision medicine in the context of cancer treatment and prevention, this article attempts to contribute to the existing debate by proposing a ‘relative resources’ perspective to explain which approach will dominate in a particular healthcare setting. The author elaborates on the ‘heterogeneity of resources’ and suggests that the extent to which precision medicine will be personalized or racialized/ethnicized in the clinic will most likely be a function of the relative availability of resources – including but not limited to financial, human and computer informatics, and legal and infrastructural resources – at individual and collective levels in healthcare contexts. Ministry of Education (MOE) Accepted version The Singapore Ministry of Education AcRF Tier 1 Grant provided the funding that made this research possible. 2020-09-03T01:42:21Z 2020-09-03T01:42:21Z 2020 Journal Article Sun, S. (2020). Between personalized and racialized precision medicine: A relative resources perspective. International Sociology, 35(1), 90–110. doi:10.1177/0268580919885292 0268-5809 https://hdl.handle.net/10356/143462 10.1177/0268580919885292 2-s2.0-85075383342 1 35 90 110 en International Sociology © 2019 The Author(s). All rights reserved. This paper was published by SAGE Publications in International Sociology and is made available with permission of The Author(s). application/pdf
spellingShingle Social sciences::General
Clinic
Ethnicity
Sun, Shirley
Between personalized and racialized precision medicine : a relative resources perspective
title Between personalized and racialized precision medicine : a relative resources perspective
title_full Between personalized and racialized precision medicine : a relative resources perspective
title_fullStr Between personalized and racialized precision medicine : a relative resources perspective
title_full_unstemmed Between personalized and racialized precision medicine : a relative resources perspective
title_short Between personalized and racialized precision medicine : a relative resources perspective
title_sort between personalized and racialized precision medicine a relative resources perspective
topic Social sciences::General
Clinic
Ethnicity
url https://hdl.handle.net/10356/143462
work_keys_str_mv AT sunshirley betweenpersonalizedandracializedprecisionmedicinearelativeresourcesperspective