Empowering primary care health professionals in medical genetics: How soon? How fast? How far?
Empowering primary care health professionals in medical genetics: How soon? How fast? How far?
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DOI：
10.1002/ajmg.10010
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发表时间：
2001-09-01
期刊：
影响因子：
--
通讯作者：
Pyeritz, RE
中科院分区：
文献类型：
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作者：
Greendale, K;Pyeritz, RE
遗传学在医学和公共卫生实践中的应用在今天是很重要的，随着我们对人类基因组的理解的发展，它只会变得更加引人注目。由于医学遗传学专业人员的缺乏，人们普遍认为初级卫生保健提供者（pcp）将需要在提供临床遗传学服务方面发挥突出作用。然而，许多研究表明，大多数pcp既没有受过足够的遗传学教育，也没有足够的兴趣成为有效的贡献。那些主张授权pcp的人必须意识到迄今为止为实现这一目标所建议的任何方法的潜在问题。此外，对该模型的任何分析都必须考虑到医学遗传学专业人员、患者和家庭的潜在后果。在本文中，我们探讨了医学遗传学服务和服务提供者文化的一些独特特征。我们讨论了这种文化对临床结果的重要性，以及在医学遗传学服务提供的PCP模型中保留其积极属性的可能性。(C) 2001 Wiley-Liss, Inc。
Applications of genetics to the practices of medicine and public health are important today and will only become more compelling as our understanding of the human genome evolves. Because of a perceived lack of medical genetics professionals, it is generally believed that primary health care providers (PCPs) will need to assume prominent roles in delivering clinical genetics services. However, a number of studies indicate that most PCPs are neither well enough educated in genetics nor interested enough in becoming so to effectively contribute. Those who advocate empowering PCPs must be aware of potential problems with any approach thus far suggested for achieving this goal. Moreover, any analysis of this model must consider the potential ramifications for medical genetics professionals, patients, and families. In this article, we explore some of the unique features of the culture of medical genetics services and service providers. We discuss how important this culture is to clinical outcomes and the likelihood that its positive attributes would be preserved in a PCP model of medical genetics service delivery. (C) 2001 Wiley-Liss, Inc.