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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
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Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
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Implementing a Virtual Health Telemedicine Program in a Community Setting.

Scott M Weissman1, Kate Zellmer2, Nicole Gill2

  • 1Genomic Medicine Program, Aurora Health Care, 2900 W Oklahoma Ave, Milwaukee, WI, 53215, USA. scott.weissman@aurora.org.

Journal of Genetic Counseling
|December 6, 2017
PubMed
Summary

Facing a genetic counselor shortage, Aurora Health Care implemented virtual health (VH) using telemedicine. This innovative approach successfully staffed clinics, offering a scalable solution for genetic services nationwide.

Keywords:
Cancer geneticsGenetic counselingGeneticsPrenatal geneticsTelemedicineVirtual health

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Area of Science:

  • Clinical Genetics
  • Health Services Research

Background:

  • A significant workforce shortage of genetic counselors impacted Aurora Health Care's cancer/adult and prenatal genetics services.
  • Four open genetic counselor positions remained unfilled in 2015 due to this shortage.

Purpose of the Study:

  • To explore alternative service delivery models to address the genetic counselor workforce shortage.
  • To implement and evaluate a virtual health (VH) program utilizing telemedicine to staff genetics clinics.

Main Methods:

  • Recruited genetic counselors nationwide to work remotely.
  • Developed clinical workflows and an implementation process for virtual health.
  • Deployed VH across 9 prenatal and cancer clinics over 12 months.

Main Results:

  • Successfully staffed genetics clinics by recruiting remote genetic counselors.
  • Established a functional virtual health program across multiple clinic settings.
  • Gained experience in implementing telemedicine for genetics services.

Conclusions:

  • Virtual health via telemedicine is a viable solution to overcome genetic counselor workforce shortages.
  • This model can expand access to essential genetic services in both remote and urban areas.
  • The documented process can guide other institutions facing similar staffing challenges.