Evidence map›Paper›PMID 33629958›Full record

ArticleInteractive journal of medical research2021

Barriers and Facilitators to Genetic Service Delivery Models: Scoping Review.

Melissa Raspa, Rebecca Moultrie, Danielle Toth, Saira Naim Haque

Abstract readScoping Review
In one paragraph

Article in Interactive journal of medical research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

69 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Genetically guided precision medicine clinical decision support tools: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2024
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  16. Elective genomic sequencing for adults in research, clinical and commercial contexts.medRxiv : the preprint server for health sciences · 2026
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9 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Melissa RaspaRTI International, Research Triangle Park, NC, United States.ORCID https://orcid.org/0000-0003-3791-3367
Rebecca MoultrieRTI International, Research Triangle Park, NC, United States.ORCID https://orcid.org/0000-0003-2102-2287
Danielle TothRTI International, Research Triangle Park, NC, United States.ORCID https://orcid.org/0000-0002-1987-5021
Saira Naim HaqueRTI International, Research Triangle Park, NC, United States.ORCID https://orcid.org/0000-0001-8866-9005

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdvances in diagnostics testing and treatment of genetic conditions have led to increased demand for genetic services in the United States. At the same time, there is a shortage of genetic services professionals. Thus, understanding the models of service delivery currently in use can help increase access and improve outcomes for individuals identified with genetic conditions.

objectiveThis review aims to provide an overview of barriers and facilitators to genetic service delivery models to inform future service delivery.

methodsWe conducted a scoping literature review of the evidence to more fully understand barriers and facilitators around the provision of genetic services.

resultsThere were a number of challenges identified, including the limited number of genetics specialists, wait time for appointments, delivery of services by nongenetics providers, reimbursement, and licensure. The ways to address these challenges include the use of health information technology such as telehealth, group genetic counseling, provider-to-provider education, partnership models, and training; expanding genetic provider types; and embedding genetic counselors in clinical settings.

conclusionsThe literature review highlighted the need to expand access to genetic services. Ways to expand services include telehealth, technical assistance, and changing staffing models. In addition, using technology to improve knowledge among related professionals can help expand access.

Indexed as

geneticsgenetic servicesrare diseasestelehealth

Identifiers

PMID33629958
PMCPMC7952239

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.