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. 2021 Aug;30(4):1038-1045.
doi: 10.1002/jgc4.1469. Epub 2021 Jul 21.

Genetic counseling, virtual visits, and equity in the era of COVID-19 and beyond

Wendy R Uhlmann  1   2   3 , Andrew J McKeon  2 , Catharine Wang  4
Affiliations

Genetic counseling, virtual visits, and equity in the era of COVID-19 and beyond

Wendy R Uhlmann et al. J Genet Couns. 2021 Aug.

Abstract

Overnight, as a result of the COVID-19 pandemic, telehealth rapidly transitioned from limited application to widespread implementation. The field of genetic counseling was well positioned to make this transition to virtual care since there is generally less of a need for patients to be seen in-person for physical exams or urgent care. Going forward, virtual visits will presumably become a mainstay in the provision of genetic services and it is anticipated that clinics will adopt "hybrid" models with both in-person and virtual visit options. This commentary highlights the successes and challenges in the rapid implementation of virtual visits, focusing on who has benefited versus who has been challenged or left behind. We also discuss genetic testing considerations, including the additional steps required for patients and clinicians when testing is ordered outside of the clinical setting, which can result in delays or a lack of testing altogether. Future research considerations are presented to address the needs among the most vulnerable and help ensure equitable access and benefit.

Keywords: COVID-19; disparities; genetic counseling; genetic testing; telegenetics; telehealth; virtual visits.

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Conflict of interest statement

Wendy Uhlmann receives book royalties from Wiley‐Blackwell: John Wiley & Sons, Inc. Andrew McKeon and Catharine Wang declare that they have no conflict of interest.

Figures

FIGURE 1
FIGURE 1
Genetic testing logistics and sources of delay following a virtual visit
See this image and copyright information in PMC

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