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- W2324632131 abstract "Abstract Although the U.S. Preventative Services Task Force, the HHS's Healthy People 2020 draft objectives and multiple professional medical societies recommend genetic counseling as the standard of care for women with family history suggesting increased risk for breast cancer, there is clear evidence that this standard is not being achieved. On the one hand, many women who are appropriate for genetic counseling are not receiving it, while on the other, many individuals are inappropriately undergoing BRCA testing. A number of factors have been identified as contributors to these poor public health outcomes, including lack of physician proficiency in genetics and lack of availability of genetic counseling services due to limited number of trained genetics professionals and their limited geographic distribution. We report a novel systematic approach implemented through a large regional health plan (approximately 500,000 members, 14,000 network providers, 112 commercial hospitals, and 58 medicare hospitals) to address these issues, and present data regarding its performance. Components of the program include: 1) implementation of a model BRCA coverage policy that follows USPSTF guidelines recommending genetic counseling, 2) increased access to genetic counseling via telephone delivery and 3) removal of financial, language, convenience and other barriers to genetic counseling services. The program was implemented in January, 2010 and data will be presented for January through September. Specific results include 1) changes in volume of BRCA testing (including by provider specialty), 2) decrease in rates of inappropriate BRCA test requests (i.e., requests not meeting national guidelines/clinical criteria for testing), 3) discrepancies in reported family history based on methods of data collection, 4) increased awareness and dissemination of genetic services in the community setting, and 5) cost-effectiveness estimates. This program may serve as a model for appropriate translation of genetic testing into public health benefit. Citation Information: Cancer Res 2010;70(24 Suppl):Abstract nr P2-10-06." @default.
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- W2324632131 date "2010-12-01" @default.
- W2324632131 modified "2023-09-25" @default.
- W2324632131 title "Abstract P2-10-06: Identification and Referral of Appropriate Patients for Genetic Services in the Community Setting: An innovative Approach" @default.
- W2324632131 doi "https://doi.org/10.1158/0008-5472.sabcs10-p2-10-06" @default.
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