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[Genetic testing and bioethics].

Y Fukushima1

  • 1Department of Medical Genetics, Shinshu University School of Medicine.

Rinsho Shinkeigaku = Clinical Neurology
|September 19, 2002
PubMed
Summary
This summary is machine-generated.

Japan lacks a formal genetic counseling system. This study proposes a multidisciplinary approach, integrating specialists to improve genetic services and support patients undergoing genetic testing.

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Area of Science:

  • Medical Genetics
  • Healthcare Systems

Background:

  • Genetic counseling is crucial for genetic testing, particularly presymptomatic testing.
  • Japan currently lacks an established, official system for providing genetic counseling services.
  • The ethical, legal, and social implications (ELSI) of genetic testing necessitate comprehensive support.

Purpose of the Study:

  • To propose a multidisciplinary approach for genetic counseling adaptable to the Japanese medical system.
  • To highlight the establishment and function of a clinical and molecular genetics division at Shinshu University Hospital.

Main Methods:

  • Establishment of a dedicated division of clinical and molecular genetics in 1996.
  • Integration of medical doctors from various specialties (neurology, endocrinology, pediatrics, oncology, laboratory medicine, medical genetics), a clinical psychologist, and a genetic nurse.

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  • Weekly staff meetings to discuss individual cases and ELSI.

    • Main Results:

    • A functional multidisciplinary team for genetic counseling has been operational since 1996.
    • The division was officially recognized by the Ministry of Education in 2000.
    • The approach facilitates comprehensive case discussion and ELSI consideration.

    Conclusions:

    • A multidisciplinary model for genetic counseling can be effectively implemented within the Japanese healthcare framework.
    • This approach has the potential to significantly enhance genetic services across Japan.
    • Wider adoption of this model could improve patient care and support for genetic testing.