The future of genetic counselling: an international perspective
The future of genetic counselling: an international perspective
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DOI：
10.1038/9641
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发表时间：
1999-06-01
期刊：
影响因子：
30.8
通讯作者：
Marteau, TM
中科院分区：
文献类型：
--
作者：
Biesecker, BB;Marteau, TM
临床遗传学的重点，因此遗传咨询，预计将扩大从诊断和预测罕见的，往往无法治疗的条件，预测常见的，往往是可治疗或可预防的条件。这种进化是否可能迅速进行，或者以允许合理整合分子遗传工具的速度进行，这是未知的，也是争论的来源（2，3）。然而，很明显，遗传学的发现将改变疾病和风险的概念化方式。在这里，我们预测遗传咨询，特别是更常见的疾病，可能会在未来几十年提供。我们设想扩大专业角色和专业知识，为许多医疗保健提供者，并强调需要咨询的做法，成为更多的证据为基础。虽然我们支持将基因检测纳入实践的循证方法，但基因进步不太可能在国家内部以有序和标准化的方式发生，更不用说在不同国家和医疗保健系统之间了。遗传学家将越来越多地参与有关基因检测和筛查计划的专业教育和政策制定。
The focus of clinical genetics, and thus genetic counselling, is forecast to expand from the diagnosis and prediction of rare, often untreatable conditions, to the prediction of common, often treatable or preventable conditions'. Whether this evolution is likely to proceed rapidly or at a pace that permits sensible integration of molecular genetic tools is unknown and a source of debate(2,3) . It is clear, however, that genetic discoveries will modify the way in which disease and risk are conceptualized. Here, we predict how genetic counselling, specifically for more common diseases, might be provided in the decades to come. We envisage an expansion of professional roles and expertise for many health care providers and highlight the need for counselling practices to become more evidence based. Although we support an evidentiary-based approach to the integration of genetic testing into practice, genetic advance is unlikely to occur in an orderly and standardized manner within countries, much less among different countries and health care systems(4). Geneticists will become increasingly involved in professional education and policy-making regarding genetic testing and screening programs.