Current Issues, Challenges, and Future Perspectives of Genetic Counseling in Korea
2
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Genetic testing has become increasingly integrated into all areas of healthcare, and complex genetic testing usage continues to grow; thus, the demand for genetic counseling (GC) is likely to increase. However, it is unclear whether the current clinical GC capacity is sufficient for meeting the existing demand. This review describes the current issues, challenges, and future perspectives of GC in Korea based on a professional survey conducted among laboratory physicians. In view of the growing GC demand in the clinical setting, participants expressed a concern about the lack of support from the national healthcare insurance policy and legal requirements, such as certification, for GC practice. The implementation of genetic testing in the overall healthcare system in Korea is in an early phase. Proper implementation can be achieved through education and training of specialists, collaboration among healthcare personnel, proper regulatory oversight, genomic policies, and public awareness. Understanding the current GC capacity, issues, and challenges is a prerequisite for effective strategic planning by healthcare systems considering the expected growth in the demand for clinical genetic services over the next few decades.
Abstract
Genetic testing has become increasingly integrated into all areas of healthcare, and complex genetic testing usage continues to grow; thus, the demand for genetic counseling (GC) is likely to increase. However, it is unclear whether the current clinical GC capacity is sufficient for meeting the existing demand. This review describes the current issues, challenges, and future perspectives of GC in Korea based on a professional survey conducted among laboratory physicians. In view of the growing GC demand in the clinical setting, participants expressed a concern about the lack of support from the national healthcare insurance policy and legal requirements, such as certification, for GC practice. The implementation of genetic testing in the overall healthcare system in Korea is in an early phase. Proper implementation can be achieved through education and training of specialists, collaboration among healthcare personnel, proper regulatory oversight, genomic policies, and public awareness. Understanding the current GC capacity, issues, and challenges is a prerequisite for effective strategic planning by healthcare systems considering the expected growth in the demand for clinical genetic services over the next few decades.
참고문헌 (22)
- Jieun Kim, "Genetic Counseling Status and Perspectives Based on a 2018 Professional Survey in Korea", Annals of Laboratory Medicine, 40(3), pp.232~237 (2020), 대한진단검사의학회[DOI]
- Arora NS, "Communication challenges for nongeneticist physicians relaying clinical genomic results", Per Med, 14, pp.423~431 (2016)
- 양미나, "Principles of Genetic Counseling in the Era of Next- Generation Sequencing", Annals of Laboratory Medicine, 38(4), pp.291~295 (2018), 대한진단검사의학회
- Vears DF, "Genetic health professionals’ experiences returning results from diagnostic genomic sequencing to patients", J Genet Couns, 29, pp.807~815 (2020)
- Mikat-Stevens NA, "Primary-care providers’ perceived barriers to integration of genetics services : a systematic review of the literature", Genet Med, 17, pp.169~176 (2015)
- Douma KFL, "Non-genetic health professionals’ attitude towards, knowledge of and skills in discussing and ordering genetic testing for hereditary cancer", Fam Cancer, 15, pp.341~350 (2016)
- Mathias PC, "Preventing genetic testing order errors with a laboratory utilization management program", Am J Clin Pathol, 146, pp.221~226 (2016)
- "OECD reviews of public health: Korea. A healthier tomorrow" (2020)[URL]
- Ferrier RA, "The establishment of core competencies for Canadian genetic counsellors : validation of practice based competencies", J Genet Couns, 22, pp.690~706 (2013)
- Abacan M, "The global state of the genetic counseling profession", Eur J Hum Genet, 27, pp.183~197 (2019)
- Unim B, "Current genetic service delivery models for the provision of genetic testing in Europe : A systematic review of the literature", Front Genet, 10, pp.552~ (2019)
- 이찬희, "외래 초진환자의 만족진료시간과 관련 추가 비용 지불 의사", 보건행정학회지, 27(1), pp.39~46 (2017), 한국보건행정학회
- National Society of Genetic Counselors’ Definition Task Force, "A new definition of Genetic Counseling : National Society of Genetic Counselors’ Task Force report : National Society of Genetic Counselors’ Task Force report", J Genet Couns, 15, pp.77~83 (2006)
- Zatz M, "Neuromuscular disorders: genes, genetic counseling and therapeutic trials", Genet Mol Biol, 39, pp.339~348 (2016)
- Paneque M, "Genetic counselling profession in Europe" (2016), John Wiley & Sons, Ltd
- Sahhar MA, "Educating genetic counselors in Australia : developing an international perspective", J Genet Couns, 14, pp.283~294 (2005)
- Middleton A, "Direct-to-consumer genetic testing : where and how does genetic counseling fit?", Per Med, 14, pp.249~257 (2017)
- Liehr T, "European registration process for clinical laboratory geneticists in genetic healthcare", Eur J Hum Genet, 25, pp.515~519 (2017)
- Choi JY, "A study on genetic counseling curriculum, accreditation of the training program, and the certification process of genetic counselors in Korea", J Genet Med, 6, pp.38~55 (2009)
- 이지현, "The Effects of a Genetic Counseling Educational Program on Hereditary Breast Cancer for Korean Healthcare Providers", Journal of Breast Cancer, 16(3), pp.335~341 (2013), 한국유방암학회
- Skirton H, "The European Board of Medical Genetics : development of a professional registration system in Europe", Eur J Hum Genet, 25, pp.S51~S52 (2017)
- Godard B, "Provision of genetic services in Europe: current practices and issues", Eur J Hum Genet, 11(S2), pp.S13~S48 (2003)
