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Genetic counseling, virtual visits, and equity in the era of COVID-19 and beyond.
Uhlmann, Wendy R; McKeon, Andrew J; Wang, Catharine.
  • Uhlmann WR; Division of Genetic Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
  • McKeon AJ; Department of Human Genetics, University of Michigan, Ann Arbor, Michigan, USA.
  • Wang C; Center for Bioethics and Social Sciences in Medicine, University of Michigan, Ann Arbor, Michigan, USA.
J Genet Couns ; 30(4): 1038-1045, 2021 08.
Article in English | MEDLINE | ID: covidwho-1320073
ABSTRACT
Overnight, as a result of the COVID-19 pandemic, telehealth rapidly transitioned from limited application to widespread implementation. The field of genetic counseling was well positioned to make this transition to virtual care since there is generally less of a need for patients to be seen in-person for physical exams or urgent care. Going forward, virtual visits will presumably become a mainstay in the provision of genetic services and it is anticipated that clinics will adopt "hybrid" models with both in-person and virtual visit options. This commentary highlights the successes and challenges in the rapid implementation of virtual visits, focusing on who has benefited versus who has been challenged or left behind. We also discuss genetic testing considerations, including the additional steps required for patients and clinicians when testing is ordered outside of the clinical setting, which can result in delays or a lack of testing altogether. Future research considerations are presented to address the needs among the most vulnerable and help ensure equitable access and benefit.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Telemedicine / Videoconferencing / Genetic Counseling Type of study: Observational study / Prognostic study Limits: Humans Language: English Journal: J Genet Couns Journal subject: Genetics, Medical Year: 2021 Document Type: Article Affiliation country: Jgc4.1469

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Telemedicine / Videoconferencing / Genetic Counseling Type of study: Observational study / Prognostic study Limits: Humans Language: English Journal: J Genet Couns Journal subject: Genetics, Medical Year: 2021 Document Type: Article Affiliation country: Jgc4.1469