Accepted for/Published in: Interactive Journal of Medical Research
Date Submitted: Aug 14, 2020
Date Accepted: Jan 16, 2021
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Genetic Service Delivery Models: Literature Review and Stakeholder Interviews
ABSTRACT
Background:
Increased newborn screening in the United States has resulted in more results that need followup. At the same time, there is a shortage of genetic services professionals. Thus, understanding models of service delivery currently in use can help with future planning.
Objective:
We sought to identify evidence about genetics service delivery models in order to inform future service delivery.
Methods:
We conducted a scoping literature review of the evidence and conducted interviews with professionals in the field.
Results:
There were a number of challenges identified including the limited number of genetics specialists, wait time for appointments, delivery of services by non-genetics providers, reimbursement and licensure. Ways to address those solutions include use of health information technology such as telehealth, group genetic counseling, provider to provider education, partnership models, training, expanding genetic provider types and embedding genetic counselors in clinical settings.
Conclusions:
The literature review and interviews identified the need to expand access to genetic services. Ways to expand services include telehealth, technical assistance, and changing staffing models. In addition, the need to improve knowledge among related professionals can help expand access. Clinical Trial: NA
Citation
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Copyright
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