Genetic Counseling Service Delivery Models in the United States: Assessment of changes in use from 2010 to 2017

摘要: In 2010, the National Society of Genetic Counselors (NSGC) membership was surveyed about their use genetic counseling service delivery models (SDMs) including in-person, telephone, telegenetics, and group counseling. Since that time, demand for services has increased in United States (US). We hypothesized various SDMs to help address growing demand. To assess changes SDM interest implementing innovative SDMs, NSGC subcommittee sent an electronic survey (N = 3,616), which open from August 2017 December 2017. Descriptive statistics chi-square analysis were used compare identify differences utilization between 2010 There 590 total responses (16.3% response rate) with 517 usable responses, representing multiple specialties. Compared significantly fewer respondents indicated they 'always' provide in-person (p < .04, df = 4), 92.6% reporting or 'often' utilizing Telephone reported by 12.5% as a model always often, compared 8% 2010; however, shift toward away telephone since not statistically significant (p = .27, df = 4). The number using telegenetics often 2.3% 6.7% 2017, more report at frequency (p < .01, contrast, those decreased 3.0% 1.4%, though there (p = .21, Almost all (93%) interested additional and/or different SDM; many (74%) identified barriers implementation. increase 3 4 practice (p < .02). counselors may be attempting compensate longer wait times improve access patients. is strong learning efficiency. However, resources need developed overcome implementation achieve these goals.