ArticleFrontiers in medicine2026
Sustained delivery of diagnostic and preventive genomics in primary care: a five-year real-world cohort from a family medicine-embedded multidisciplinary clinic.
Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
8 authors.
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Abstract
Introduction: Precision medicine has traditionally been delivered in specialty settings, limiting access for many patients. Primary care offers a potential entry point for broader delivery of genomic services within primary care, given its central role in longitudinal and preventive care. In this study, we characterize five years of sustained real-world delivery of both diagnostic and preventive genomic services within a family-medicine-embedded multidisciplinary clinic, examining patient population, referral patterns, clinical workflow, and genomic testing yield. Methods: We conducted a retrospective chart review of all new patients evaluated in the PCPM clinic at UPMC between November 6, 2019, and April 17, 2024 ( Results: Genetic testing was ordered for 1,174 patients (73%), with 1,360 total tests ordered and an 83.4% completion rate. Panel-based testing accounted for 71% of all tests. Most tests (86%) were ordered for primary referral concerns, while 14% were prompted by incidental indications identified during intake. Clinic growth supported increased access, expanded staffing, and the development of a streamlined two-visit care model. Conclusion: These findings demonstrate that the sustained delivery of diagnostic and preventive genomics within a family medicine embedded multidisciplinary clinic model is feasible, enabling broad genomic evaluation, efficient testing workflows, and clinically meaningful diagnoses across diverse indications, offering a replicable template for health systems seeking to close the genomics access gap.
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