通过远程遗传咨询计划提高效率和扩大规模
Oncology (Williston Park, N.Y.)
|February 1, 2024
概括
一个远程医学遗传咨询计划改善了社区瘤学的准入和结果. 这种远程模型提高了患者参与率,并降低了无人出现率,有效地扩展了遗传服务.
科学领域:
- 在瘤学瘤学.
- 遗传学 是一个遗传学.
- 远程医疗远程医疗
背景情况:
- 社区瘤实践在及时提供遗传咨询方面面临挑战.
- 扩大获得遗传服务的机会对于个性化癌症护理至关重要.
研究的目的:
- 在一个大型社区瘤实践中评估第三方远程医疗遗传咨询计划.
- 评估该计划对患者获取,参与和基因检测率的影响.
主要方法:
- 通过基于国家综合癌症网络指南的电子健康记录 (EHR) 进行了转诊.
- 远程医疗 (TM) 和遗传咨询助理被用来提高便利性和访问性.
- 对突变阳性查的医生教育被整合到EHR中.
主要成果:
- 该计划扩展到35家诊所,在2019年至2022年期间,转诊从195个增加到885个.
- 82%的患者完成了TM遗传咨询,超过70%完成了遗传检测.
- 从提请到咨询的平均周转时间为4-6天,没有出现率低于7%.
结论:
- 远程遗传咨询计划对于扩大社区瘤学的遗传护理是有效的.
- 整合TM遗传咨询的EHR可以改善高风险患者的识别和测试采用.
- 该计划证明了改善的患者保留率,缩短的周转时间,以及更好的患者结果.
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