Telegenetics: an Update on Availability and Use of Telemedicine in Clinical Genetics Service
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Abstract
Although telegenetics as a telehealth tool for online genetic counseling was primarily initiated to improve access to genetics care in remote areas, the increasing demand for genetic services with personalized genomic medicine, shortage of clinical geneticists, and the expertise of established genetic centers make telegenetics an attractive alternative to traditional in-person genetic counseling. We review the scope of current telegenetics practice, user experience of patients and clinicians, quality of care in comparison to traditional counseling, and the advantages and disadvantages of information and communication technology in telegenetics. We found that live videoconference consultations are generally well accepted by both clients and clinicians, and these have been successfully used in several genetic counseling settings in practice. Future use of telegenetics could increase patients’ access to specialized care and help in meeting the increasing demand for genetic services.
Keywords
Telegenetics Genetic counseling Clinical genetics Telemedicine E-geneticsReferences
- 1.Hilgart, J.S., Hayward, J.A., Coles, B., and Iredale, R., Telegenetics: a systematic review of telemedicine in genetics services. Genet Med. 14(9):765–776, 2012.CrossRefGoogle Scholar
- 2.Zilliacus, E., Sc, B., Couns, M.G., Meiser, B., Ph, D., Lobb, E., Ph, D., Sci, M.A., Ed, B.A., Dudding, T.E., Med, B., Barlow-stewart, K., Ph, D., and Tucker, K., The virtual Consultation : practitioners ’ by videoconferencing in Australia. Telemed J E Health. 16(3):350–357, 2010. doi: 10.1089/tmj.2009.0108.CrossRefPubMedGoogle Scholar
- 3.Hopper, B., Buckman, M., and Edwards, M., Evaluation of satisfaction of parents with the use of videoconferencing for a pediatric genetic consultation. Twin Res Hum Genet. 14:343–346, 2011.CrossRefPubMedGoogle Scholar
- 4.Pestoff, R., Ingvoldstad, C., and Skirton, H., Genetic counsellors in Sweden: their role and added value in the clinical setting. Eur J Hum Genet., 2015. doi: 10.1038/ejhg.2015.110.PubMedGoogle Scholar
- 5.Cohen, S.A., Gustafson, S.L., Marvin, M.L., Riley, B.D., Uhlmann, W.R., Liebers, S.B., and Rousseau, J.A., Report from the National Society of genetic counselors service delivery model task force: a proposal to define models, components, and modes of referral. J Genet Couns. 21:645–651, 2012.CrossRefPubMedGoogle Scholar
- 6.Cohen, S.A., Marvin, M.L., Riley, B.D., Vig, H.S., Rousseau, J.A., and Gustafson, S.L., Identification of genetic counseling service delivery models in practice: a report from the NSGC Service delivery model task force. J Genet Couns. 22:411–421, 2013.CrossRefPubMedGoogle Scholar
- 7.Otten, E., Birnie, E., Ranchor, A.V., and van Langen, I.M., Telegenetics use in presymptomatic genetic counselling: patient evaluations on satisfaction and quality of care. Eur J Hum Genet., 2015. doi: 10.1038/ejhg.2015.164.PubMedCentralGoogle Scholar
- 8.Otten, E., Birnie, E., Lucassen, A.M., Ranchor, A.V., and Van Langen, I.M., Telemedicine uptake among genetics professionals in Europe: room for expansion. Eur J Hum Genet., 2015. doi: 10.1038/ejhg.2015.83.PubMedCentralGoogle Scholar
- 9.Gray, J., Brain, K., Iredale, R., Alderman, J., France, E., and Hughes, H., A pilot study of telegenetics. J Telemed Telecare. 6:245–247, 2000.CrossRefPubMedGoogle Scholar
- 10.Zilliacus, E.M., Meiser, B., Lobb, E.A., Kelly, P.J., Barlow-Stewart, K., Kirk, J.A., Spigelman, A.D., Warwick, L.J., and Tucker, K.M., Are videoconferenced consultations as effective as face-to-face consultations for hereditary breast and ovarian cancer genetic counseling? Genet Med. 13:933–941, 2011.CrossRefPubMedGoogle Scholar
- 11.Buchanan, A.H., Datta, S.K., Skinner, C.S., Hollowell, G.P., Beresford, H.F., Freeland, T., Rogers, B., Boling, J., Marcom, P.K., and Adams, M.B., Randomized trial of telegenetics vs. in-person cancer genetic counseling: cost, patient satisfaction and attendance. J Genet Couns. 24(6):961–970, 2015. doi: 10.1007/s10897-015-9836-6.CrossRefPubMedPubMedCentralGoogle Scholar
- 12.Hilgart, J., Hayward, J.A., and Iredale, R., E-genetics: exploring the acceptability and feasibility of using technology in cancer genetics services. Clin Genet. 81:514–520, 2012.CrossRefPubMedGoogle Scholar
- 13.McDonald, E., Lamb, A., Grillo, B., Lucas, L., and Miesfeldt, S., Acceptability of telemedicine and other cancer genetic counseling models of service delivery in geographically remote settings. J Genet Couns. 23:221–228, 2014.CrossRefPubMedGoogle Scholar
- 14.Hawkins, A., Creighton, S., Ho, A., Mcmanus, B., and Hayden, M., Providing predictive testing for Huntington disease via telehealth: results of a pilot study in British Columbia, Canada. Clin Genet. 84:60–64, 2013.CrossRefPubMedGoogle Scholar
- 15.Chan, F.Y., Soong, B., Watson, D., and Whitehall, J., Realtime fetal ultrasound by telemedicine in Queensland. A successful venture? J Telemed Telecare. 7(Suppl 2):7–11, 2001.CrossRefPubMedGoogle Scholar
- 16.Chan, F., Taylor, A., Soong, B., Martin, B., Clark, J., Timothy, P., Lee-Tannock, A., Begg, L., Cincotta, R., and Wootton, R., Randomized comparison of the quality of realtime fetal ultrasound images transmitted by ISDN and by IP videoconferencing. J Telemed Telecare. 8:91–96, 2002.CrossRefPubMedGoogle Scholar
- 17.Gattas, M.R., MacMillan, J.C., Meinecke, I., Loane, M., and Wootton, R., Telemedicine and clinical genetics: establishing a successful service. J Telemed Telecare. 7(suppl 2):68–70, 2001.CrossRefPubMedGoogle Scholar
- 18.Tozzi, A.E., Carloni, E., Stat, D., Gesualdo, F., Russo, L., and Raponi, M., Attitude of families of patients with genetic diseases to use m-health technologies. Telemed J E Health. 21:4–7, 2014.Google Scholar
- 19.Bradbury, A.R., Patrick-Miller, L., Fetzer, D., Egleston, B., Cummings, S.A., Forman, A., Bealin, L., Peterson, C., Corbman, M., O’Connell, J., and Daly, M.B., Genetic counselor opinions of, and experiences with telephone communication of BRCA1/2 test results. Clin Genet. 79:125–131, 2011.CrossRefPubMedGoogle Scholar
- 20.Saliba, V., Legido-Quigley, H., Hallik, R., Aaviksoo, A., Car, J., and McKee, M., Telemedicine across borders: a systematic review of factors that hinder or support implementation. Int J Med Inform. 81:793–809, 2012.CrossRefPubMedGoogle Scholar
- 21.Yoon, P.W., Scheuner, M.T., Jorgensen, C., and Khoury, M.J., Developing family Healthware, a family history screening tool to prevent common chronic diseases. Prev Chronic Dis. 6:A33, 2009.PubMedGoogle Scholar