scholarly journals Barriers and Facilitators to Genetic Service Delivery Models: Scoping Review

10.2196/23523 ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. e23523
Author(s):  
Melissa Raspa ◽  
Rebecca Moultrie ◽  
Danielle Toth ◽  
Saira Naim Haque
Keyword(s):  
Literature Review ◽  
Service Delivery ◽  
Technical Assistance ◽  
The United States ◽  
Genetic Services ◽  
Barriers And Facilitators ◽  
Genetic Service ◽  
Provider Education ◽  
Service Delivery Models ◽  
Delivery Models

Background Advances in diagnostics testing and treatment of genetic conditions have led to increased demand for genetic services in the United States. At the same time, there is a shortage of genetic services professionals. Thus, understanding the models of service delivery currently in use can help increase access and improve outcomes for individuals identified with genetic conditions. Objective This review aims to provide an overview of barriers and facilitators to genetic service delivery models to inform future service delivery. Methods We conducted a scoping literature review of the evidence to more fully understand barriers and facilitators around the provision of genetic services. Results There were a number of challenges identified, including the limited number of genetics specialists, wait time for appointments, delivery of services by nongenetics providers, reimbursement, and licensure. The ways to address these challenges include the use of health information technology such as telehealth, group genetic counseling, provider-to-provider education, partnership models, and training; expanding genetic provider types; and embedding genetic counselors in clinical settings. Conclusions The literature review highlighted the need to expand access to genetic services. Ways to expand services include telehealth, technical assistance, and changing staffing models. In addition, using technology to improve knowledge among related professionals can help expand access.

scholarly journals Genetic Service Delivery Models: Literature Review and Stakeholder Interviews (Preprint)

2020 ◽  
Author(s):  
Saira Naim Haque
Keyword(s):  
Literature Review ◽  
Service Delivery ◽  
Technical Assistance ◽  
Wait Time ◽  
The United States ◽  
Genetic Services ◽  
Provider Education ◽  
Service Delivery Models ◽  
Partnership Models ◽  
Delivery Models

BACKGROUND Increased newborn screening in the United States has resulted in more results that need followup. At the same time, there is a shortage of genetic services professionals. Thus, understanding models of service delivery currently in use can help with future planning. OBJECTIVE We sought to identify evidence about genetics service delivery models in order to inform future service delivery. METHODS We conducted a scoping literature review of the evidence and conducted interviews with professionals in the field. RESULTS There were a number of challenges identified including the limited number of genetics specialists, wait time for appointments, delivery of services by non-genetics providers, reimbursement and licensure. Ways to address those solutions include use of health information technology such as telehealth, group genetic counseling, provider to provider education, partnership models, training, expanding genetic provider types and embedding genetic counselors in clinical settings. CONCLUSIONS The literature review and interviews identified the need to expand access to genetic services. Ways to expand services include telehealth, technical assistance, and changing staffing models. In addition, the need to improve knowledge among related professionals can help expand access. CLINICALTRIAL NA

scholarly journals Virtual Music Therapy: Developing New Approaches to Service Delivery

2020 ◽  
Vol 38 (2) ◽  
pp. 151-156
Author(s):  
David Knott ◽  
Seneca Block
Keyword(s):  
Service Delivery ◽  
Music Therapy ◽  
The United States ◽  
Music Therapists ◽  
Health Crisis ◽  
Service Delivery Models ◽  
Initial Wave ◽  
Traditional Service ◽  
Virtual Services ◽  
Delivery Models

Abstract As the global Coronavirus disease (COVID-19) pandemic transforms our society, music therapists must adapt service delivery models that ensure client safety. Given the prevalence of COVID-19 in our communities and lack of personal protective equipment in many settings, music therapists are faced with the need to shift delivery models in order to provide safe and relevant services. Telehealth is one solution to these current service delivery challenges. Music therapists possess a depth of practice-based knowledge and understanding of client populations, which enables them to develop virtual services, matching both the clinicians’ and clients’ technical capabilities. Developed during the initial wave of COVID-19 infections in the United States, this article describes the coauthors’ three-tiered scaffold model intended to support the program development and deployment of virtual music therapy (VMT) services. The model describes an approach to developing VMT services that directs the clinician’s goals of care in formats that are accessible, appropriate, and best meet the patient/client’s needs and abilities. The severity and lasting nature of this worldwide health crisis and its disruption of traditional service delivery models require clinicians and researchers to develop the most effective uses of VMT while considering its limits with regard to clinical populations and need areas.

Genetic Counseling Service Delivery Models in the United States: Assessment of changes in use from 2010 to 2017

2020 ◽  
Vol 29 (6) ◽  
pp. 1126-1141 ◽  
Author(s):  
Samantha E. Greenberg ◽  
Emily Boothe ◽  
Christine L. Delaney ◽  
Ryan Noss ◽  
Stephanie A. Cohen
Keyword(s):  
United States ◽  
Genetic Counseling ◽  
Service Delivery ◽  
The United States ◽  
Counseling Service ◽  
Service Delivery Models ◽  
Genetic Counseling Service ◽  
Delivery Models

Reimbursement and Telepractice

2013 ◽  
Vol 3 (2) ◽  
pp. 35-40
Author(s):  
Carol Dudding
Keyword(s):  
Service Delivery ◽  
Healthcare Services ◽  
Speech Language Pathology ◽  
Delivery Method ◽  
Quality Healthcare ◽  
Service Delivery Models ◽  
Private Lives ◽  
Language Pathology ◽  
Delivery Models

Whether in our professional or private lives, we are all aware of the system wide efforts to provide quality healthcare services while containing the costs. Telemedicine as a method of service delivery has expanded as a result of changes in reimbursement and service delivery models. The growth and sustainability of telehealth within speech-language pathology and audiology, like any other service, depends on the ability to be reimbursed for services provided. Currently, reimbursement for services delivered via telehealth is variable and depends on numerous factors. An understanding of these factors and a willingness to advocate for increased reimbursement can bolster the success of practitioners interested in the telehealth as a service delivery method.

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