增加对具有特定疾病专业知识的遗传顾问的访问:开发一个集中式囊性纤维化遗传咨询远程医疗模型的开发
Elinor Langfelder-Schwind1, Melissa Basile2, Rachel Moyal-Smith3
1Northwell, New Hyde Park, NY and Department of Pulmonary, Critical Care and Sleep Medicine, Lenox Hill Hospital, New York, New York, USA.
Pediatric pulmonology
|December 26, 2025
概括
对囊性纤维化 (CF) 遗传咨询的新远程医疗服务改善了获得护理的机会. 这种CF特异性遗传咨询远程医疗 (CFgc-T) 模式受到患者和提供者的青,解决了劳动力短缺问题.
科学领域:
- 遗传学和基因组学 在
- 远程医疗服务是远程医疗服务.
- 医疗保健提供 医疗保健提供
背景情况:
- 基因和基因组测试在临床实践中越来越多地使用.
- 获得遗传咨询师 (GC) 的机会有限,而且需求很高.
- 需要一种新的,公平的解决方案来应对这些挑战.
研究的目的:
- 收集社区对集中化囊性纤维化特异性遗传咨询远程医疗服务 (CFgc-T) 的反.
- 确定实施CFgc-T模型的障碍和促进因素.
- 为设计一个可扩展和公平的遗传咨询服务提供信息.
主要方法:
- 与各种利益相关者进行了虚拟聚焦小组,包括提供商,转介者,消费者和付款人.
- 副本是使用演和归纳方法编码的.
- 实施研究综合框架 (CFIR) 指导了对障碍和促进因素的评估.
- 分享了CFgc-T模型的视频描述,并通过调查从临床医生和消费者收集了反.
主要成果:
- 利益相关者支持CF特定的遗传咨询,强调灵活性,可用性和解决系统性障碍.
- 消费者希望准确,易于理解的信息,并愿意为可访问的服务共同支付费用.
- 临床医生对试点站点表现出兴趣 (58%),消费者很可能会推其他人 (96%).
- 担忧包括通过远程医疗讨论敏感话题,技术障碍和成本.
结论:
- 具有CF专业知识的集中CFgc-T服务可以增强对遗传咨询的公平获取.
- 远程医疗服务可以缓解专业遗传咨询方面的劳动力短缺.
- CFgc-T模型受到好评,为CF护理提供了一个可扩展,公平的解决方案.
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