Choi In Hee, Kim Yun Kyung, Yang Seo Yeon, Choi Vit-Na, Ji Su Min, Kim Jun Young, Lee Beom Hee
Department of Genetic Counseling, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Medical Genetics Center, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
J Genet Couns. 2025 Feb;34(1):e1922. doi: 10.1002/jgc4.1922. Epub 2024 May 20.
Since the 1990s, genetic clinics have been established in South Korea, enabling the provision of clinical genetics services. However, genetic counseling services are not widely used in the medical system. In contrast, recently, the demand for genetic counseling has increased due to the rapid development of genomic medicine. Therefore, it is important for medical geneticists and genetic counselors to collaboratively provide genetic counseling services. This study aimed to evaluate the perception and satisfaction of patients with rare genetic diseases and their families regarding genetic counseling services provided by a genetics team at the medical genetics center of a tertiary general hospital for rare genetic diseases. From April to November 2021, a survey was conducted with 203 individuals, including 111 and 92 individuals in the patient and family groups, respectively. Overall, 164 individuals (80.8%) responded that they were aware of genetic counseling services, and 135 individuals (66.5%) responded that they were aware of the role of genetic counselors. Patients and their families wanted to receive information about the following from genetic counseling: clinical manifestation and prognosis of the diagnosed disease (78.8%), treatment and management of the disease (60.6%), risk of recurrence within the family (55.7%), treatment options and alternatives for family and prenatal testing, and various support services. The score of satisfaction with genetic counseling services provided by the genetics team was 8.19 ± 1.68 out of 10. Patients with rare genetic diseases and their families were satisfied with genetic counseling services regarding their diseases, test results, and treatment options. Moreover, the patients could receive psychosocial support and referrals to other medical service providers and support services. As a genetic team approach, collaboration between medical geneticists and certified genetic counselors would be useful in providing information and in diagnosing, treating, and managing patients.
自20世纪90年代以来,韩国已设立了基因诊所,能够提供临床遗传学服务。然而,遗传咨询服务在医疗系统中并未得到广泛应用。相比之下,近年来,由于基因组医学的快速发展,对遗传咨询的需求有所增加。因此,医学遗传学家和遗传咨询师合作提供遗传咨询服务非常重要。本研究旨在评估罕见遗传病患者及其家属对一家三级综合医院罕见遗传病医学遗传学中心的遗传学团队提供的遗传咨询服务的认知度和满意度。2021年4月至11月,对203人进行了调查,其中患者组111人,家属组92人。总体而言,164人(80.8%)表示了解遗传咨询服务,135人(66.5%)表示了解遗传咨询师的作用。患者及其家属希望从遗传咨询中获得以下信息:已确诊疾病的临床表现和预后(78.8%)、疾病的治疗和管理(60.6%)、家庭内复发风险(55.7%)、家庭治疗选择和替代方案以及产前检测,以及各种支持服务。遗传学团队提供的遗传咨询服务满意度评分为8.19±1.68(满分10分)。患有罕见遗传病的患者及其家属对关于其疾病、检测结果和治疗选择的遗传咨询服务感到满意。此外,患者还可以获得心理社会支持以及转介至其他医疗服务提供者和支持服务机构。作为一种遗传学团队方法,医学遗传学家和认证遗传咨询师之间的合作在提供信息以及诊断、治疗和管理患者方面将很有帮助。