Genetics in health care: an overview of current and emerging models

Public Health Genomics
R N BattistaN Leduc

Abstract

With advances in genetic and genomic medicine, the optimal integration of genetic services into the health care system remains of major concern in many countries. To review the current organisation of genetic services, mostly in Europe, North America and Australia, explore emerging service delivery models, and probe challenges inherent in the transition process. We conducted a literature review of genetics in clinical practice: testing, diagnosis, counselling, and treatment. We examined the basic structures of genetic services, examples of integrated networks, and existing professional resources. We investigated services belonging traditionally in medical genetics as well as those developed for more common diseases. Multidisciplinary specialist clinics and coordinated services appeared to be key to delivering proper care in rare genetic disorders. For oncogenetics, neurogenetics and cardiogenetics, interprofessional collaboration between geneticists and other specialists seemed to be favoured. On the other hand, there was also a tendency toward the integration of genetic services directly into primary care. Among the most pressing challenges was the morphing of paediatric care into adult care. The coordination of activities bet...Continue Reading

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Related Concepts

Genetics service
Primary Health Care
Genetic Disorders Screening
Cytogenetics
Clinic
Hemochromatosis
Integrated Health Care Systems
Genome
Health Services
Medical Genetics Specialty

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