Genetic Counseling for Personal Genomic Testing: Optimizing Client Uptake of Post-Test Telephonic Counseling Services
Genetic Counseling for Personal Genomic Testing: Optimizing Client Uptake of Post-Test Telephonic Counseling Services
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DOI：
10.1007/s10897-012-9496-8
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发表时间：
2012-06-01
影响因子：
1.9
通讯作者：
Kieran, Shannon
中科院分区：
文献类型：
--
作者：
Levin, Elissa;Riordan, Sara;Kieran, Shannon
遗传咨询领域面临着广泛的挑战：许多潜在客户可能不知道遗传咨询服务的价值和好处，因此可能不会使用这些服务。Navigenics是一家个人基因组测试公司，为多因素疾病和药物遗传学提供电话遗传咨询服务。当2008年首次提供时，Navigenics遗传咨询服务的利用率低于预期。为了探索利用不足的基础和增加吸收的潜在机制，Navigenics发起了一项质量改进研究，在一年的时间里评估了三种不同的方法，让客户参与遗传咨询服务的吸收。结果显示，不同方法之间的接受率存在显著差异(7.5%、24.6%和60.1%)，当测试后对所有客户进行电话外展时，服务利用率增加了8倍。此外，利用基于客户结果的所有风险水平，证据表明，不仅具有高风险结果的客户被激励参与遗传咨询服务。这项研究表明，实施遗传咨询教育策略可以积极地影响客户的参与度和对现有服务的利用。
The field of genetic counseling faces a broad challenge: many potential clients may not be aware of the value and benefit of genetic counseling services, and therefore may not utilize those services. Navigenics is a personal genomic testing company that provides telephonic genetic counseling services for multifactorial diseases and pharmacogenetics. When first offered in 2008, utilization of the Navigenics genetic counseling service was less than expected. To explore the basis for under-utilization and potential mechanisms for increasing uptake, Navigenics initiated a quality improvement study, in which three different methods of engaging clients in the uptake of genetic counseling services were assessed over the course of 1 year. Outcomes showed significant differences in uptake rates between methodologies (7.5%, 24.6%, and 60.1%), yielding an 8-fold increase in service utilization when post-test telephonic outreach to all clients was performed. Further, utilization spanned all risk levels based on client results, evidence that not only clients with high-risk results were motivated to engage in the genetic counseling service. This research indicates that implementing strategies to educate clients about genetic counseling can positively impact client engagement and utilization of available services.