ArticlePaediatrics & child health2026
Integrating paediatric subspecialists into the delivery of genomic medicine: A qualitative study.
Article in Paediatrics & child health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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.
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Who cites it
1 citing paper in PubMed.
- Understanding the decision of parents to opt-out of medically actionable secondary findings offered through genome sequencing.Journal of genetic counseling · 2026Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objectives: Genomic sequencing (GS) is increasingly recommended as a diagnostic test for patients with suspected genetic disorders, but access often remains limited to those referred to medical geneticists. Enabling paediatric subspecialists to access GS can expedite diagnosis for families and reduce burdens on the geneticist-led model of care. Targeted implementation strategies are needed to empower paediatric subspecialists to access GS; however, data to inform these strategies are lacking. Methods: Semi-structured interviews were conducted with 13 paediatric subspecialists (6 paediatric neurologists, 7 developmental paediatricians) and 9 genetics practitioners in Ontario, Canada, exploring barriers and facilitators to expanding access to GS amongst paediatric subspecialists. Interview guide development was informed by the Consolidated Framework for Implementation Research. Interviews were transcribed verbatim, coded inductively, and analyzed thematically. Results: Facilitators identified by interviewees included a tension for change, clinician motivation, and the presence of analogous infrastructure. The barriers to be addressed included logistical (requiring increased resource investment), cognitive (requiring upskilling and improved support for non-geneticist clinicians from genetics services), and cultural (requiring role clarification and trust-building between groups). Conclusions: To maximize readiness of paediatric subspecialists to access GS, implementation strategies must be designed to capitalize on facilitators and reduce barriers. Evaluation of such models will be essential to ensure they meet the needs of paediatric subspecialist end-users while delivering on the expected value of GS for patients.
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