DOI QR코드

DOI QR Code

Models of Genetic Counseling Services and Quality Assurance: A Theoretical Inquiry

유전상담 서비스 모델 분석 : 이론적 탐색

  • Received : 2011.10.28
  • Accepted : 2011.12.12
  • Published : 2011.12.31

Abstract

유전 위험 사정과 상담서비스가 임상실무에 널리 적용되어 감에 따라, 다양한 비용효율 면에서 다양한 상담서비스 모델을 사정하고, 대상자의 임상 요구와 건강문제를 해결하는데 어떤 모델이 유용한 지 확인할 필요가 있다. 본 연구의 목적은 114건의 현장 관찰과 문헌고찰을 통하여 3가지 유전상담 모형을 분석하였다. 유전의학 전문가 모델, 유전상담사 모델, 임상연구전문가 모델을 중심으로 각 모델의 구조, 전문가의 역할 및 기능, 목표, 물리적 세팅, 교육도구 등을 분석하였다. 각 모형 안에서 환자에게 기대되는 결과 면에서 질적 서비스가 보장되는지 확인하기 위하여 이론적 분석을 실시하였다. 본 연구를 통하여 각 모형의 상담 전, 중, 후 환자 만족, 지식 변화, 상담 효과 및 커뮤니케이션 효과 등을 분석하였지만, 결론적으로 상담서비스가 이루어지고 있는 기관의 구조를 충분히 고려하지 않은 상태에서 최상의 서비스 모델을 제시하기 어려울 것임을 논의하였다.

Keywords

References

  1. Anderson, G., Jun, M., & Choi, K. (2007). Breast cancer screening for Korean women must consider traditional risks as well as two genetic risk factors: genetic polymorphisms and inheritable gene mutations. Cancer Nursing an International Journal, 30(3), 1-10. https://doi.org/10.1097/00002820-200701000-00001
  2. Anderson, G., Monsen, R., & Rorty, M. (2000). Nursing and genetics: A feminist critique moves us toward transdisciplinary teams. Nursing Ethics: An International Journal for Health Care Professionals, 7(3), 191-204.
  3. Apicella, C., Peacock, S. J, Andrews, L., Tucker, K., Bankier, A., Daly, M. B., Hopper, J. L. (2006). Determinants of preferences for genetic counseling in Jewish women. Family Cancer, 5(2). 159-167.
  4. Bowen, D., Burke, W., McTiernan, A., Yasui, Y., & Anderson, M. (2004). Breast cancer risk counseling improves women's functioning. Patient education and counseling, 53(1), 79-86. https://doi.org/10.1016/S0738-3991(03)00122-8
  5. Butow, P., & Lobb, E. (2004). Analyzing the process and content of genetic counseling in familial breast cancer consultations. Journal of Genetic Counseling, 13(5), 403-424. https://doi.org/10.1023/B:JOGC.0000044201.73103.4f
  6. Chitayat, D., Langlois, S., & Wilson, R. D. (2011). Prenatal screening for fetal aneuploidy in singleton pregnancies. Journal of Obstetrics Gynaecology Canada, 33(7): 736-750. https://doi.org/10.1016/S1701-2163(16)34961-1
  7. Claes, E., Ever-Kiebooms, G., Boogaerts, A., Decruyenacre, M., Denayer, L., & Legius, E. (2003). Communication with close and distant relatives in the context of genetic testing for hereditary breast and ovarian cancer in cancer patients. American Journal of Medical Genetics, 116A, 11-19. https://doi.org/10.1002/ajmg.a.10868
  8. DeMarco, T., Peshkin, B., Mars, B., & Tercyak, K. (2004). Patient satisfaction with cancer genetic counseling: A psychometric analysis of the Genetic Counseling Satisfaction Scale. Journal of Genetic Counseling, 13(4), 293-304. https://doi.org/10.1023/B:JOGC.0000035523.96133.bc
  9. Feetham, S., & Deatrick, J. (2002). Analysis of research of vulnerable families: Implications for policy. Journal of Family Nursing, 8(4), 371-382. https://doi.org/10.1177/107484002237513
  10. Greco, G., & Anderson, G. (2002). Readdressing policy in cancer genetics: Moving toward transdisciplinary teams. Policy, Politics, & Nursing practice, 3(2), 129-139. https://doi.org/10.1177/152715440200300206
  11. Greco, K. (2003). How to provide genetic counseling and education. In A.S. Trannin, A. Masny, & J. Jenkins, Genetics in oncology practice (pp189-224). Pittsburg: Oncology Nursing Society.
  12. Gustafson, S. L., Pfeiffer, G., & Eng, C. A. (2011). A large health system's approach to utilization of the genetic counselor $CPT{\circledR}$ 96040 code. Genetics in Medicine, [Epub ahead of print] PubMed PMID: 21857230.
  13. Holloway, S, Porteous, M., Cetnarskyj, R., Anderson, E., Rush, R., Fry, A., Gorman, D., Steel, M., & Campbell, H. (2004). Patient satisfaction with two different models of cancer genetic services in south-east Scotland. British Journal of Cance. 90(3), 582-589. https://doi.org/10.1038/sj.bjc.6601562
  14. Hopper, B., Buckman, M., & Edwards, M. (2011). Evaluation of satisfaction of parents with the use of videoconferencing for a pediatric genetic consultation. Twin Research and Human Genetic, 14(4), 343-346. https://doi.org/10.1375/twin.14.4.343
  15. Kash, K., & Lerman, C. (1998). Psychological, social and ethical issues in genetic testing. In J. Holland and W. Breitbart (ed.) Psycho-oncology(pp. 196-210). Oxford, UK: Oxford University Press.
  16. Kausmeyer, D., Lengerich, E., Kluhsman, B., Morrone, D., Harper, G., & Baker, M. (2006). A survey of patients' experiences with the cancer genetic counseling process: Recommendations for cancer genetics programs. Journal of Genetic Counseling, 15(6), 409-431. https://doi.org/10.1007/s10897-006-9039-2
  17. MacDonald, D., Sarna, L., Uman, G., Grant, M., & Weitzel, J. (2006). Cancer screening and risk-reducing behaviors of women seeking genetic cancer risk assessment for breast and ovarian cancers. Oncology Nursing Forum, 33(2), E27-E35. https://doi.org/10.1188/06.ONF.E27-E35
  18. MacDonald. D. J., Blazer, K. R., & Weitzel, J. N. (2010). Extending comprehensive cancer center, expertise in clinical cancer genetics and genomics to diverse communities: the power of partnership. Journal of National Comprehensive Cancer Network, 8(5), 615-624. https://doi.org/10.6004/jnccn.2010.0046
  19. Metcalfe, K., Liede, A., Hoodfar, E., Scott, A., Foulkes, W., & Narod, S. (2000). An evaluation of needs of femail BRCA1 and BRCA2 carriers undergoing genetic counseling. Journal of Medical genetics, 37(11), 866-874. https://doi.org/10.1136/jmg.37.11.866
  20. Peters, J., & Rubinstein, W. (2000). Genetics and the multidisciplinary breast center. Surgical Oncologic Clinical Nursing Administration, 9(2), 367-396.
  21. Phelps, C., Bennet, P., Iredale, R., Anstey, S., & Gray, J. (2006). The development of a distraction-based coping intervention for women waiting for genetic risk information: A phase 1 qualitative study. Psycho-Oncology, 15, 169-173. https://doi.org/10.1002/pon.937
  22. Piniewski-Bond, J., Celestino, P., Mahoney, M., Farrell, C., Hastrup, J., & Cummings, K. (2003). A cancer genetics education campaign: delivering parallel messages to clinicians and the pubic. Journal of Cancer Education, 18(2), 96-99.
  23. Rimes, K., Salkovskis, P., Jones, L., & Lucassen, A. (2006). Applying a cognitive-behavioral model of health anxiety in a cancer genetics service. Health Psychology, 25(2), 171-180. https://doi.org/10.1037/0278-6133.25.2.171
  24. Roesser, K. & Tatum, T. (2004, April). Developing a hereditary cancer genetics consultation service utilizing advanced practice nurse. Presented at the Oncology Nursing Society, 29th Annual Congress in Anaheim, CA.
  25. Washburn, N. J., Sommer, V. K., Spencer, S. E., Simmons, S. K., Adkins, B. W., Rogers, M. R., Gerken, P. L., Bromley, C. M. (2005). Outpatient genetic risk assessment in women with breast cancer: One center's experience. Clinical Journal of Oncology Nursing, 9(1), 49-53. https://doi.org/10.1188/05.CJON.49-53
  26. Williams, M. S. (2009). Quality in clinical genetics. American Journal of Medical Genetics, Part C, Seminars in Medical Genetics, 151C(3), 175-178.
  27. Wilson, B., Torrance, N., Mollison, J., Wordsworth, S., Ray, J., Haites, N., Grant, A., Campbell, M., Miedyzbrodzka, Z., Clarke, A., Watson, S., & Douglas, A. (2006). Improving the referral process for familial breast cancer genetic counselling: Findings of three randomised controlled trials of two interventions. Family Practice, 23(5), 537-544. https://doi.org/10.1093/fampra/cml026

Cited by

  1. Legislation on Genetic Diagnosis: Comparison of South Korea and Germany vol.19, pp.2, 2015, https://doi.org/10.12717/DR.2015.19.2.111
  2. Current Issues and Tasks of Genetic Cancer Nursing in Korea vol.12, pp.4, 2012, https://doi.org/10.5388/aon.2012.12.4.267