Iredale Rachel, Elwyn Glyn, Edwards Adrian, Gray Jonathon
Institute of Medical Genetics, School of Medicine, Cardiff University, Heath Park, Cardiff, UK.
J Eval Clin Pract. 2007 Feb;13(1):86-9. doi: 10.1111/j.1365-2753.2006.00657.x.
Cancer genetics is one of the fastest-growing areas of clinical genetics and it is imperative to identify how services should be organized and delivered in the future.
A qualitative study utilizing focus group methodology which explored the attitudes of clinicians working in the Medical Genetics Service for Wales to a number of possible models for future service delivery.
There was no consensus for any particular model. Greater involvement of primary care practitioners is anticipated, but this requires investment in information, education and professional development initiatives. Self-referrals were not encouraged, though the promotion of genetic literacy amongst the general population was supported, particularly in conjunction with pharmacists.
As demand for cancer genetics services continues to increase, some consensus about the future delivery of such services is necessary. Consultation with other stakeholder groups, especially primary care practitioners and patients, should also contribute to service planning.
癌症遗传学是临床遗传学发展最快的领域之一，确定未来如何组织和提供相关服务至关重要。
采用焦点小组方法进行定性研究，探讨威尔士医学遗传学服务部门的临床医生对未来多种可能的服务提供模式的态度。
对于任何特定模式都未达成共识。预计初级保健从业者将更多地参与其中，但这需要在信息、教育和专业发展举措方面进行投入。不鼓励自我转诊，不过支持在普通人群中提高基因知识水平，特别是与药剂师合作时。
随着对癌症遗传学服务的需求持续增加，有必要就此类服务的未来提供达成一些共识。与其他利益相关者群体，尤其是初级保健从业者和患者进行协商，也应有助于服务规划。
