A prospective cohort study assessing clinical referral management & workforce allocation within a UK regional medical genetics service

European Journal of Human Genetics : EJHG
Caroline BenjaminAstrid Weber

Abstract

Ensuring patient access to genomic information in the face of increasing demand requires clinicians to develop innovative ways of working. This paper presents the first empirical prospective observational cohort study of UK multi-disciplinary genetic service delivery. It describes and explores collaborative working practices including the utilisation and role of clinical geneticists and non-medical genetic counsellors. Six hundred and fifty new patients referred to a regional genetics service were tracked through 850 clinical contacts until discharge. Referral decisions regarding allocation of lead health professional assigned to the case were monitored, including the use of initial clinical contact guidelines. Significant differences were found in the cases led by genetic counsellors and those led by clinical geneticists. Around a sixth, 16.8% (109/650) of referrals were dealt with by a letter back to the referrer or re-directed to another service provider and 14.8% (80/541) of the remaining patients chose not to schedule an appointment. Of the remaining 461 patients, genetic counsellors were allocated as lead health professional for 46.2% (213/461). A further 61 patients did not attend. Of those who did, 86.3% (345/400) were ...Continue Reading

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Citations

May 17, 2018·Personalized Medicine·Anna MiddletonHeidi Carmen Howard
Jan 10, 2019·European Journal of Human Genetics : EJHG·Terri Patricia McVeighSally Ann Lynch
Jun 25, 2020·Genetics in Medicine : Official Journal of the American College of Medical Genetics·Nick DragojlovicLarry D Lynd

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