The impact of insurance coverage on the prenatal genetic counseling process: An exploration of genetic counselors' experiences with TRICARE

2019 ◽  
Vol 39 (6) ◽  
pp. 448-455
Author(s):  
Jordan Brown ◽  
Suzanne O'Neill ◽  
Wendy DiNonno ◽  
Olivia Hess
Keyword(s):  
Genetic Counseling ◽  
Insurance Coverage ◽  
Genetic Counselors ◽  
Prenatal Genetic Counseling ◽  
Counseling Process ◽  
The Impact

scholarly journals Genetic Counselors' Experiences with Paternal Involvement in Prenatal Genetic Counseling Sessions: An Exploratory Investigation

2003 ◽  
Vol 12 (3) ◽  
pp. 219-242 ◽  
Author(s):  
Richard S. Lafans ◽  
Patricia McCarthy Veach ◽  
Bonnie S. LeRoy
Keyword(s):  
Genetic Counseling ◽  
Paternal Involvement ◽  
Genetic Counselors ◽  
Prenatal Genetic Counseling ◽  
Exploratory Investigation

scholarly journals Case Report: Prenatal Genetic Counseling to Parents of Fetuses Suspected of Having Ambiguous Genitalia

2021 ◽  
Vol 8 ◽  
Author(s):  
Takeshi Sato ◽  
Tomohiro Ishii ◽  
Yu Yamaguchi ◽  
Yosuke Ichihashi ◽  
Daigo Ochiai ◽  
...  
Keyword(s):  
Genetic Counseling ◽  
Medical Information ◽  
Birth Certificate ◽  
Bladder Exstrophy ◽  
Production Capacity ◽  
Ambiguous Genitalia ◽  
Prenatal Genetic Counseling ◽  
Sex Assignment ◽  
The Impact ◽  
Legal Sex

The occurrence of fetuses suspected of having ambiguous genitalia will likely increase in the future. Currently, the impact of prenatal genetic counseling on parents' understanding and psychological preparedness has not been addressed. We provided prenatal genetic counseling to parents of two fetuses suspected of ambiguous genitalia. Case 1: At 22 weeks of gestation, swelling of the labia majora, and a clitoris-like structure were noted despite 46,XY detected in amniotic fluid cells. Case 2: At 28 weeks of gestation, bladder exstrophy and a scrotum-like structure were noted. At 32 weeks (Case 1) and 37 weeks (Case 2) of gestation, we shared information with parents regarding the possible difficulty of legal sex assignment at birth, and a scenario for registration of the birth certificate. At birth, both babies presented with ambiguous genitalia. For both cases, the parents remained calm on seeing their baby's genitalia for the first time. After a month, we shared medical information with parents, including karyotype, testosterone production capacity, and surgical schedule. In both cases parents assigned their respective baby's legal sex as male. Several months later, parents were questioned on prenatal genetic counseling. Case 1: Mother, “I was prepared to address our baby's genitalia calmly.” Father, “I understood the procedure of legal sex assignment.” Case 2: Mother, “Without counseling, I would have been more upset and worried.” Father, “We were assured that multidisciplinary experts would support us.” Prenatal genetic counseling provides reassurance to parents, who remain informed and emotionally secure throughout the legal sex assignment of their child.

A Survey of Genetic Counselors' Use of Informed Consent Documents for Prenatal Genetic Counseling Sessions

2001 ◽  
Vol 10 (1) ◽  
pp. 3-24 ◽  
Author(s):  
Gretchen M. Jacobson ◽  
Patricia McCarthy Veach ◽  
Bonnie S. LeRoy
Keyword(s):  
Genetic Counseling ◽  
Informed Consent ◽  
Genetic Counselors ◽  
Prenatal Genetic Counseling

scholarly journals Offering a choice between NIPT and invasive PND in prenatal genetic counseling: the impact of clinician characteristics on patients’ test uptake

2018 ◽  
Vol 27 (2) ◽  
pp. 235-243 ◽  
Author(s):  
Sanne L. van der Steen ◽  
Diewertje Houtman ◽  
Iris M. Bakkeren ◽  
Robert-Jan H. Galjaard ◽  
Marike G. Polak ◽  
...  
Keyword(s):  
Genetic Counseling ◽  
Prenatal Genetic Counseling ◽  
The Impact

Genetic Counselors’ Experiences with Adolescent Patients in Prenatal Genetic Counseling

2010 ◽  
Vol 20 (2) ◽  
pp. 178-191 ◽  
Author(s):  
Catherine M. Griswold ◽  
Stephanie S. Ashley ◽  
Shannan DeLany Dixon ◽  
Jessica L. Scott
Keyword(s):  
Genetic Counseling ◽  
Genetic Counselors ◽  
Prenatal Genetic Counseling ◽  
Adolescent Patients

scholarly journals Impact of the Affordable Care Act’s Dependent Coverage Expansion on the Health Care and Health Status of Young Adults: What Do We Know So Far?

2017 ◽  
Vol 75 (2) ◽  
pp. 131-152 ◽  
Author(s):  
Joshua Breslau ◽  
Bradley D. Stein ◽  
Bing Han ◽  
Shoshanna Shelton ◽  
Hao Yu
Keyword(s):  
Public Health ◽  
Health Status ◽  
Insurance Coverage ◽  
Health Impact ◽  
Care Utilization ◽  
The Public ◽  
Behavioral Health Treatment ◽  
Coverage Expansion ◽  
Dependent Coverage ◽  
The Impact

The dependent coverage expansion (DCE), a component of the Affordable Care Act, required private health insurance policies that cover dependents to offer coverage for policyholders’ children through age 25. This review summarizes peer-reviewed research on the impact of the DCE on the chain of consequences through which it could affect public health. Specifically, we examine the impact of the DCE on insurance coverage, access to care, utilization of care, and health status. All studies find that the DCE increased insurance coverage, but evidence regarding downstream impacts is inconsistent. There is evidence that the DCE reduced high out-of-pocket expenditures and frequent emergency room visits and increased behavioral health treatment. Evidence regarding the impact of the DCE on health is sparse but suggestive of positive impacts on self-rated health and health behavior. Inferences regarding the public health impact of the DCE await studies with greater methodological diversity and longer follow-up periods.

Do Notions of Risk Inform Patient Choice? Lessons from a Study of Prenatal Genetic Counseling

2006 ◽  
Vol 25 (3) ◽  
pp. 193-219 ◽  
Author(s):  
LINDA M. HUNT ◽  
HEIDE CASTAÑEDA ◽  
KATHERINE B. DE VOOGD
Keyword(s):  
Genetic Counseling ◽  
Patient Choice ◽  
Prenatal Genetic Counseling

scholarly journals The impact of welfare reform on the health insurance coverage, utilization and health of low education single mothers

2017 ◽  
Vol 180 ◽  
pp. 28-35 ◽  
Author(s):  
Kimberly Narain ◽  
Marianne Bitler ◽  
Ninez Ponce ◽  
Gerald Kominski ◽  
Susan Ettner
Keyword(s):  
Health Insurance ◽  
Welfare Reform ◽  
Single Mothers ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Low Education ◽  
The Impact

A Survey of Patients’ Experiences with the Cancer Genetic Counseling Process: Recommendations for Cancer Genetics Programs

2006 ◽  
Vol 15 (6) ◽  
pp. 409-431 ◽  
Author(s):  
Dana T. Kausmeyer ◽  
Eugene J. Lengerich ◽  
Brenda C. Kluhsman ◽  
Dorothy Morrone ◽  
Gregory R. Harper ◽  
...  
Keyword(s):  
Genetic Counseling ◽  
Cancer Genetics ◽  
Cancer Genetic Counseling ◽  
Cancer Genetic ◽  
Counseling Process
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