Utilization trends of genetic clinics excluding prenatal services in Washington State, 1995-2004.

Utilization trends of genetic clinics excluding prenatal services in Washington State, 1995-2004.
复制标题

1995-2004 年华盛顿州不包括产前服务的基因诊所的使用趋势。

DOI:
10.1097/gim.0b013e318156abec
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发表时间:
2007
期刊:
Genetics in medicine : official journal of the American College of Medical Genetics
影响因子:
--
通讯作者:
Watts,Carolyn
Watts,Carolyn
中科院分区:
--
文献类型:
--
作者:
Wang,Grace;Watts,Carolyn

文献摘要

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目的:分析华盛顿州遗传诊所的利用率并探讨与利用率相关的因素。方法:我们的分析包括 1995 年至 2004 年间始终向华盛顿州最低数据集报告的 15 个遗传诊所中的 9 个的数据。产前遗传学服务被排除在外。我们通过每年的患者计数来描述利用率,并根据年龄、性别和居住地分析患者数量。 结果:华盛顿州 9 个遗传诊所的患者总数从 1995 年的 1804 名患者增加到 2004 年的 3536 名患者,每年平均增长 8%。尽管 1995 年 35 岁及以上的成年人占所有患者的 14%,但在 2004 年几乎占 28%。在此期间,35 岁及以上的女性人数显着增加。结论:1995 年至 2004 年间,华盛顿州的九家遗传诊所的利用率有所增长,服务的患者结构也发生了变化。我们建议进一步研究测试的可用性、公众对遗传学的认识、遗传学提供者的供应以及不断变化的法规和政策。保险政策影响遗传学诊所的利用。
Purpose: To analyze genetic clinic utilization in Washington State and to explore factors associated with utilization.Methods: Our analysis included data from the 9 of 15 genetic clinics that consistently reported to the Washington State Minimum Data Set between 1995 and 2004. Prenatal genetics services were excluded. We described utilization with yearly counts of patients and analyze patient volume according to age, sex, and residence.Results: The total number of patients at nine genetic clinics in Washington increased from 1804 patients in 1995 to 3536 patients in 2004 with growth increasing at an average 8% each year. Although adults aged 35 years and over comprised 14% of all patients in 1995, they comprised almost 28% in 2004. The number of females aged 35 years and older increased markedly during this time frame.Conclusion: Nine genetic clinics in Washington experienced growth in utilization and changes in the mix of patients served between 1995 and 2004. We suggest further study of how test availability, public awareness of genetics, supply of genetics providers, and changing regulations and insurance policies influence utilization of genetics clinics.