دورية أكاديمية

Measuring quality and value in genetic counseling: The current landscape and future directions.

التفاصيل البيبلوغرافية
العنوان: Measuring quality and value in genetic counseling: The current landscape and future directions.
المؤلفون: Higgs E; Cardiovascular Genetics Program, University of California, San Francisco, California, USA., Wain KE; GeneDx, LLC, Gaithersburg, Maryland, USA., Wynn J; Department of Pediatrics, Columbia University Irving Medical Center, New York, New York, USA., Cho MT; Center for Precision Health Research, National Human Genome Research Institute, National Institutes of Health, Bethesda, Maryland, USA., Higgins S; Metis Genetics, Dallas, Texas, USA., Blaisdell D; Discern Health, Part of Real Chemistry, San Francisco, California, USA., Dugan D; Discern Health, Part of Real Chemistry, San Francisco, California, USA., Valek S; Discern Health, Part of Real Chemistry, San Francisco, California, USA., Cohen S; Ascension St. Vincent, Indianapolis, Indiana, USA.
المصدر: Journal of genetic counseling [J Genet Couns] 2023 Apr; Vol. 32 (2), pp. 315-324. Date of Electronic Publication: 2022 Nov 17.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't; Research Support, N.I.H., Intramural
اللغة: English
بيانات الدورية: Publisher: Wiley Country of Publication: United States NLM ID: 9206865 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-3599 (Electronic) Linking ISSN: 10597700 NLM ISO Abbreviation: J Genet Couns Subsets: MEDLINE
أسماء مطبوعة: Publication: 2019- : [Hoboken, NJ] : Wiley
Original Publication: New York, N.Y. : Human Sciences Press, c1992-
مواضيع طبية MeSH: Genetic Counseling*/psychology , Counselors*/psychology, Humans ; Genetic Testing ; Delivery of Health Care ; Genetic Services
مستخلص: Genetic counselors strive to provide high-quality genetic services. To do so, it is essential to define quality in genetic counseling and identify opportunities for improvement. This Professional Issues article provides an overview of the evaluation of healthcare quality in genetic counseling. The National Society of Genetic Counselors' Research, Quality, and Outcomes Committee partnered with Discern Health, a value-based healthcare policy consulting firm, to develop a care continuum model of genetic counseling. Using the proposed model, currently available quality measures relevant to genetic counseling in the US healthcare system were assessed, allowing for the identification of gaps and priority areas for further development. A total of 560 quality measures were identified that can be applied to various aspects of the care continuum model across a range of clinical specialty areas in genetic counseling, although few measures were specific to genetic counseling or genetic conditions. Areas where quality measures were lacking included: attitudes toward genetic testing, family communication, stigma, and issues of justice, equity, diversity, and inclusion. We discuss these findings and other strategies for an evidence-based approach to quality in genetic counseling. Strategic directions for the genetic counseling profession should include a consolidated approach to research on quality and value of genetic counseling, development of quality metrics and patient-experience measures, and engagement with other improvement activities. These strategies will allow for benchmarking, performance improvement, and future implementation in accountability programs which will strengthen genetic counseling as a profession that provides evidence-based high-quality care to all patients.
(© 2022 National Society of Genetic Counselors.)
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فهرسة مساهمة: Keywords: genetic counseling; genetic services; outcomes; patient-reported outcomes; quality; quality measures; value
تواريخ الأحداث: Date Created: 20221117 Date Completed: 20230405 Latest Revision: 20230613
رمز التحديث: 20240628
DOI: 10.1002/jgc4.1657
PMID: 36385723
قاعدة البيانات: MEDLINE
الوصف
تدمد:1573-3599
DOI:10.1002/jgc4.1657