Show simple item record

dc.contributor.authorRigter, T.en
dc.contributor.authorHenneman, L.en
dc.contributor.authorBroerse, J. E. W.en
dc.contributor.authorShepherd, Maggieen
dc.contributor.authorBlanco, I.en
dc.contributor.authorKristoffersson, U.en
dc.contributor.authorCornel, M. C.en
dc.identifier.citationDeveloping a framework for implementation of genetic services: learning from examples of testing for monogenic forms of common diseases. 2014, 5 (4):337-47 J Community Geneten
dc.description.abstractGenetics in health care is shifting, and responsibilities of genetic and nongenetic specialists are changing, requiring new guidance on how to adapt health care to advances in genetic services. This paper explores facilitators and barriers in the process of implementation of innovations in genetic health care. Furthermore, lessons learnt for optimizing development of new genetic services are summarized. Barriers and facilitators in transition processes were identified using mixed methods, including an online open-ended questionnaire among professionals and an international expert meeting. A multi-case study approach was used to explore recent experiences with innovations in genetic services in different phases of implementation. Barriers encountered in transitions in genetic service provision include the following: lack of genetic knowledge and skills among nongenetic health care providers, resistance to new divisions of responsibilities, and a need for more close collaboration and communication between geneticists and nongeneticists. Facilitating factors include the following: statutory registration of genetic specialists, availability of essential staff and equipment, and existence of registries and guidelines. Other challenges are experienced in the establishment of the appropriate legal and financial structures. A set of points to consider for genetic innovation processes is proposed, addressing, e.g., transition management and cooperation and communication strategies.en
dc.rightsArchived with thanks to Journal of community geneticsen
dc.subjectWessex Classification Subject Headings::Oncology. Pathology.::Geneticsen
dc.titleDeveloping a framework for implementation of genetic services: learning from examples of testing for monogenic forms of common diseases.en
dc.typeJournal Articleen
dc.identifier.journalJournal of community geneticsen
dc.description.noteThis article is freely available via PubMed Central. Click on the 'Additional Link' above to access the full-text.en

Files in this item


There are no files associated with this item.

This item appears in the following Collection(s)

Show simple item record