Factors influencing genetic counseling and testing for hereditary breast and ovarian cancer syndrome in a large US health care system

2021 ◽  
Author(s):  
C. Bethan Powell ◽  
Cecile Laurent ◽  
Christine Garcia ◽  
Elizabeth Hoodfar ◽  
Audrey Karlea ◽  
...  
Keyword(s):  
Ovarian Cancer ◽  
Health Care ◽  
Genetic Counseling ◽  
Health Care System ◽  
Cancer Syndrome ◽  
Breast And Ovarian Cancer ◽  
Factors Influencing ◽  
Counseling And Testing ◽  
Care System

scholarly journals Factors Influencing Perceptions of Breast Cancer Genetic Counseling among Women in an Urban Health Care System

2007 ◽  
Vol 16 (6) ◽  
pp. 735-753 ◽  
Author(s):  
Marvella E. Ford ◽  
Sharon Hensley Alford ◽  
Diandra Britton ◽  
Beth McClary ◽  
Howard S. Gordon
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Genetic Counseling ◽  
Health Care System ◽  
Urban Health ◽  
Urban Health Care ◽  
Cancer Genetic Counseling ◽  
Cancer Genetic ◽  
Factors Influencing ◽  
Care System

scholarly journals A Collaborative Model to Implement Flexible, Accessible and Efficient Oncogenetic Services for Hereditary Breast and Ovarian Cancer: The C-MOnGene Study

Cancers ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 2729
Author(s):  
Julie Lapointe ◽  
Michel Dorval ◽  
Jocelyne Chiquette ◽  
Yann Joly ◽  
Jason Robert Guertin ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Ovarian Cancer ◽  
Genetic Counseling ◽  
Evidence Base ◽  
Annual Number ◽  
Breast And Ovarian Cancer ◽  
Patient Centered ◽  
Collaborative Model ◽  
Counseling And Testing ◽  
Number Of Patients

Medical genetic services are facing an unprecedented demand for counseling and testing for hereditary breast and ovarian cancer (HBOC) in a context of limited resources. To help resolve this issue, a collaborative oncogenetic model was recently developed and implemented at the CHU de Québec-Université Laval; Quebec; Canada. Here, we present the protocol of the C-MOnGene (Collaborative Model in OncoGenetics) study, funded to examine the context in which the model was implemented and document the lessons that can be learned to optimize the delivery of oncogenetic services. Within three years of implementation, the model allowed researchers to double the annual number of patients seen in genetic counseling. The average number of days between genetic counseling and disclosure of test results significantly decreased. Group counseling sessions improved participants’ understanding of breast cancer risk and increased knowledge of breast cancer and genetics and a large majority of them reported to be overwhelmingly satisfied with the process. These quality and performance indicators suggest this oncogenetic model offers a flexible, patient-centered and efficient genetic counseling and testing for HBOC. By identifying the critical facilitating factors and barriers, our study will provide an evidence base for organizations interested in transitioning to an oncogenetic model integrated into oncology care; including teams that are not specialized but are trained in genetics.

scholarly journals Factors influencing coordination and continuity across care levels in the Catalan Health Care System

2015 ◽  
Vol 25 (suppl_3) ◽  
Author(s):  
MB Aller ◽  
S Waibel ◽  
I Vargas ◽  
ML Vázquez ◽  
J Coderch ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Factors Influencing ◽  
Care System

scholarly journals Impact of race, socioeconomic status, and the health care system on the treatment of advanced-stage ovarian cancer in California

2014 ◽  
Vol 133 ◽  
pp. 156-157
Author(s):  
B.J. Long ◽  
J. Chang ◽  
A. Ziogas ◽  
K.S. Tewari ◽  
H. Anton-Culver ◽  
...  
Keyword(s):  
Ovarian Cancer ◽  
Health Care ◽  
Socioeconomic Status ◽  
Health Care System ◽  
Advanced Stage ◽  
Care System

scholarly journals Factors Influencing Colorectal Cancer Screening Participation

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Antonio Z. Gimeno García
Keyword(s):  
Colorectal Cancer ◽  
Health Care ◽  
Health Care System ◽  
Population Based ◽  
Average Risk ◽  
Major Health Problem ◽  
Crc Screening ◽  
Screening Uptake ◽  
Factors Influencing ◽  
Care System

Colorectal cancer (CRC) is a major health problem worldwide. Although population-based CRC screening is strongly recommended in average-risk population, compliance rates are still far from the desirable rates. High levels of screening uptake are necessary for the success of any screening program. Therefore, the investigation of factors influencing participation is crucial prior to design and launches a population-based organized screening campaign. Several studies have identified screening behaviour factors related to potential participants, providers, or health care system. These influencing factors can also be classified in non-modifiable (i.e., demographic factors, education, health insurance, or income) and modifiable factors (i.e., knowledge about CRC and screening, patient and provider attitudes or structural barriers for screening). Modifiable determinants are of great interest as they are plausible targets for interventions. Interventions at different levels (patient, providers or health care system) have been tested across the studies with different results. This paper analyzes factors related to CRC screening behaviour and potential interventions designed to improve screening uptake.

scholarly journals Impact of race, socioeconomic status, and the health care system on the treatment of advanced-stage ovarian cancer in California

2015 ◽  
Vol 212 (4) ◽  
pp. 468.e1-468.e9 ◽  
Author(s):  
Beverly Long ◽  
Jenny Chang ◽  
Argyrios Ziogas ◽  
Krishnansu S. Tewari ◽  
Hoda Anton-Culver ◽  
...  
Keyword(s):  
Ovarian Cancer ◽  
Health Care ◽  
Socioeconomic Status ◽  
Health Care System ◽  
Advanced Stage ◽  
Care System

scholarly journals What are factors influencing coordination and continuity across care levels in the Catalan national health care system?

2016 ◽  
Vol 16 (6) ◽  
pp. 168
Author(s):  
Marta B Aller ◽  
Sina Waibel ◽  
Ingrid Vargas ◽  
M Luisa Vázquez ◽  
Jordi Coderch ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
National Health ◽  
National Health Care ◽  
National Health Care System ◽  
Factors Influencing ◽  
Care System

A Comprehensive Program Enabling Effective Delivery of Regional Genetic Counseling

2018 ◽  
Vol 28 (5) ◽  
pp. 996-1002 ◽  
Author(s):  
Jubilee Brown ◽  
Aly Athens ◽  
David L. Tait ◽  
Erin K. Crane ◽  
Robert V. Higgins ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Ovarian Cancer ◽  
Health Care ◽  
Genetic Counseling ◽  
Cancer Patients ◽  
Health Care System ◽  
Patient Navigation ◽  
Counseling Services ◽  
Comprehensive Program ◽  
Genetic Counseling Services

ObjectivesThe aim of this study was to demonstrate the utility of a comprehensive program involving management-based evidence, telemedicine, and patient navigation to provide genetic counseling services for patients with ovarian and breast cancer across a geographically large health care system.MethodsWe identified all patients with newly diagnosed ovarian and breast cancer in our health care system from January 2013 to December 2015 through the cancer registry. Referral characteristics and testing outcomes were recorded for each year and compared using the χ2 or Fisher exact test.ResultsBecause the implementation of this program, the number of new ovarian cancer cases remained constant (109–112 cases/year) but patients referred for genetic counseling increased annually from 37% to 43% to 96% (P < 0.05). The percentage of ovarian cancer patients who underwent genetic testing increased annually from 24% to 27% to 53% (P < 0.05). The number of new breast cancer patients was constant (1543–1638 cases/year). The percentage of patients with triple negative breast cancer referred for genetic counseling rose from 69% in 2013 to 91% in 2015; the percentage of patients who underwent testing increased annually from 59% to 86% (P < 0.05). Of women with breast cancer diagnosed at less than 45 years of age, 78% to 85% were referred for genetic counseling across this period; the percentage of patients who underwent testing increased annually from 66% to 82% (P < 0.05). Patient navigation was initiated and was available to all patients in the system during this period. Telemedicine consults were performed in 118 breast/ovarian patients (6%) during this period.ConclusionsA comprehensive program may improve access to effective genetic counseling services in patients with ovarian and breast cancer despite geographic barriers.

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