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Primary care professionals' views on population-based expanded carrier screening: an online focus group study
Lieke M van den Heuvel1,2, Anke J Woudstra2, Sanne van der Hout3
1Department of Genetics, University Medical Centre Groningen/University of Groningen, Groningen, The Netherlands.
Family Practice
|February 1, 2023
Summary
Primary care professionals find population-based expanded carrier screening (ECS) feasible but question its priority. Midwives felt more suitable than general practitioners for providing ECS, emphasizing primary care access.
Area of Science:
- Reproductive Health
- Genetics
- Primary Care Medicine
Background:
- Population-based expanded carrier screening (ECS) offers screening for multiple recessive diseases to couples planning or during pregnancy.
- Primary care professionals are considered potential providers for ECS, but their perspectives are underexplored.
Purpose of the Study:
- To explore primary care professionals' views on the desirability and feasibility of population-based expanded carrier screening (ECS).
Main Methods:
- Four online focus groups were conducted with 14 general practitioners (GPs) and 16 community midwives in the Netherlands.
Main Results:
- Participants recognized ECS's potential to enhance reproductive autonomy and prevent suffering.
- Concerns were raised regarding societal impacts, stigmatization, unequal access, and psychosocial consequences.
- GPs felt less suitable than midwives for providing ECS, though both groups favored primary care or public health service delivery for increased accessibility.
Conclusions:
- While feasible, the desirability and priority of population-based ECS remain questioned by primary care professionals.
- Further research is needed on the desirability and feasibility of offering ECS within primary care or public health settings.
Keywords:
expanded carrier screeningfocus groupsgeneral practitionersmidwivesprimary care professionalsviewsMore Related Videos
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