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Identifying future models for delivering genetic services: a nominal group study in primary care
Glyn Elwyn1, Adrian Edwards, Rachel Iredale
1Centre for Health Sciences Research, Cardiff University, 56 Park Place, Cardiff, CF10 3AT, Wales. glyn.elwyn@btinternet.com
BMC Family Practice
|April 16, 2005
Summary
Primary care practitioners explored genetic counseling service models. While no single model dominated, community-based services with expert clinicians were prioritized, highlighting a need for broader healthcare system discussions on genetic risk.
Area of Science:
- Genetics
- Primary Care Medicine
- Healthcare Services Research
Background:
- Growing demand for genetic services necessitates exploring new delivery models.
- Primary care practitioners require tools to assess genetic counseling service suitability.
- Anticipated demand for genetic services exceeds current system capacity.
Purpose of the Study:
- To enable primary care physicians to generate and evaluate genetic counseling service delivery models.
- To inform the development of accessible genetic counseling services within primary care settings.
Main Methods:
- Modified nominal group technique employed.
- Utilized in primary care professional development workshops.
- Involved 37 general practitioners in Wales, UK.
Main Results:
- Practitioners identified current systems as insufficient for anticipated genetic service demand.
- A diverse range of service models was proposed, with no single preference.
- Community-based, co-located services with expert clinicians were highly prioritized.
- No strong consensus emerged for integrating genetic counseling centrally into family practice.
Conclusions:
- A broader discussion is needed on how healthcare systems manage genetic concerns and risks.
- Increasing commercial marketing of genetic tests underscores this need.
- Primary care settings are seen as a viable location for enhanced genetic service delivery.