Feasibility of an environmental scan-based approach to collecting information about factors impacting cancer genetics services in Latin American countries.

IF 1.5 Q4 GENETICS & HEREDITY Journal of Community Genetics Pub Date : 2024-10-14 DOI:10.1007/s12687-024-00744-5
Erica M Bednar, Roni Nitecki Wilke, Kirsten Jorgensen, Michael T Walsh, Stephanie Nutt, Karen H Lu, Leandro Nóbrega, Aline Patricia Soares Dias De Souza, Gabriela da Silva Oliveira, Carlos Eduardo Mattos da Cunha Andrade, Nelson Purizaca-Rosillo, Pamela Mora, Aldo López Blanco, Lenny N Gallardo-Alvarado, David Cantú-de León, J Alejandro Rauh-Hain
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Abstract

Objective: Clinical cancer genetics services are expanding globally, but national policy and health care systems influence availability and implementation. Understanding the environmental factors within a country is required to appropriately implement, adapt, and evaluate cancer genetics service delivery models. An environmental scan (ES) is an approach used in business, public health, health care and other sectors to collect information about an environment or system for strategic decision making and program planning. An ES has been previously used to assess cancer genetics clinic-level factors to inform quality improvement efforts in the United States. We assessed the feasibility of using an ES to collect information about factors that may influence cancer genetics service delivery in the outer-most socio-ecological model environmental levels (policy, national agencies, healthcare systems, cultural considerations) in three Latin American countries.

Methods: Oncology and Genetics care team members at three participating sites used publicly available sources and personal experiences to complete a data collection form (DCF) that included questions about subtopics: laws and policies, relevant agencies and regulations, health care systems and insurance, and cultural considerations. Time to complete the DCF and DCF completeness were used to measure ES feasibility.

Results: Participating sites completed the DCF in 3 months, and most questions (average, 87.0%) were answered. Questions in the cultural considerations subtopic had the fewest answers (average, 77.8%).

Conclusions: Overall, the ES was feasible and identified a lack of published literature related to cultural considerations impacting health care and genetics services uptake in Latin America. Environmental factors impact cancer genetics services, and identification of these factors will facilitate future collaborative research and genetics service delivery dissemination efforts.

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以环境扫描为基础,收集影响拉丁美洲国家癌症遗传学服务因素的信息的可行性。
目的:癌症遗传学临床服务正在全球范围内扩展,但国家政策和医疗保健系统影响着服务的提供和实施。要适当实施、调整和评估癌症遗传学服务提供模式,就必须了解一个国家的环境因素。环境扫描(ES)是一种用于商业、公共卫生、医疗保健和其他领域的方法,用于收集有关环境或系统的信息,以进行战略决策和项目规划。在美国,环境扫描曾被用于评估癌症遗传学诊所层面的因素,为质量改进工作提供信息。我们评估了在三个拉丁美洲国家使用 ES 收集可能影响癌症遗传学服务提供的最外层社会生态模型环境因素(政策、国家机构、医疗保健系统、文化因素)的可行性:方法:三个参与地点的肿瘤学和遗传学医疗团队成员利用公开资料和个人经验填写了一份数据收集表(DCF),其中包括有关法律和政策、相关机构和法规、医疗保健系统和保险以及文化因素等子主题的问题。完成 DCF 所需的时间和 DCF 的完整性被用来衡量 ES 的可行性:结果:参与地点在 3 个月内完成了 DCF,大多数问题(平均 87.0%)都得到了回答。文化因素子课题中的问题得到的回答最少(平均 77.8%):总体而言,ES 是可行的,并发现拉丁美洲缺乏与影响医疗保健和遗传学服务吸收的文化因素相关的已发表文献。环境因素会影响癌症遗传学服务,确定这些因素将有助于未来的合作研究和遗传学服务的推广工作。
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来源期刊
Journal of Community Genetics
Journal of Community Genetics GENETICS & HEREDITY-
CiteScore
3.30
自引率
5.30%
发文量
54
期刊介绍: The Journal of Community Genetics is an international forum for research in the ever-expanding field of community genetics, the art and science of applying medical genetics to human communities for the benefit of their individuals. Community genetics comprises all activities which identify persons at increased genetic risk and has an interest in assessing this risk, in order to enable those at risk to make informed decisions. Community genetics services thus encompass such activities as genetic screening, registration of genetic conditions in the population, routine preconceptional and prenatal genetic consultations, public education on genetic issues, and public debate on related ethical issues. The Journal of Community Genetics has a multidisciplinary scope. It covers medical genetics, epidemiology, genetics in primary care, public health aspects of genetics, and ethical, legal, social and economic issues. Its intention is to serve as a forum for community genetics worldwide, with a focus on low- and middle-income countries. The journal features original research papers, reviews, short communications, program reports, news, and correspondence. Program reports describe illustrative projects in the field of community genetics, e.g., design and progress of an educational program or the protocol and achievement of a gene bank. Case reports describing individual patients are not accepted.
期刊最新文献
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