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Published in: Journal of Genetic Counseling 1/2012

01-02-2012 | Original Research

A Survey of Ethical and Professional Challenges Experienced by Spanish Health-Care Professionals that Provide Genetic Counseling Services

Authors: Reyes Abad-Perotín, Ángel Asúnsolo-Del Barco, Agustín Silva-Mato

Published in: Journal of Genetic Counseling | Issue 1/2012

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Abstract

Genetic testing is increasingly applied for diagnosis and clinical treatment. In some countries, genetic counseling services are provided by professionals with specific training in this discipline, whereas other countries have no teaching programs and counseling is offered by physicians, nurses, pharmacists or biochemists. This counseling raises more and more ethical dilemmas for health professionals at their clinics. The purpose of this study was to analyze the characteristics of Spanish professionals devoted to providing genetic counseling services and to investigate the frequency of the ethical dilemmas they face. Results from 72 survey respondents revealed this counseling is provided by an almost even number of male and female professionals, mostly physicians with many years of professional experience. The overall frequency of the ethical dilemmas encountered was not high. The most frequent dilemmas corresponded to emotional responses by patients, informed consent, uncertainty about test results, and limitations on health-care resources. The frequency of dilemmas involving discrimination and provider directiveness was very low. Additional findings, practice implications, and research recommendations are presented.
Footnotes
1
“Asociación Española de Genética Humana”. The AEGH has since undergone considerable growth and now has over 500 members.
 
2
Instituto de Salud Carlos III (ISCIII)
 
3
http://​www.​aegh.​org/​acreditacion.​jsp. The Accreditation Committee was appointed in 2005.
 
5
Fundamental Law 10/1995, Part V
 
11
For all data comparisons between the three countries a chi-square test was used. If the data did not meet the conditions for validity, the extension of Fisher’s exact test was applied to contingency tables larger than 2 × 2.
 
12
Percentage of women completing medical degrees: 1955–59: 8%, 1965–69: 17%, 1975–79: 33%, 1985–89: 50%, 1995–2000: 68%, 2005: 74% (according to data from the CESM Foundation http://​www.​elmedicointeract​ivo.​com/​docs/​documentos/​ATT00151.​pdf).
 
13
Foreigners on the census drawn up by the National Statistical Institute [(Instituto Nacional de Estadística, INE): 2001: 1370657; 2006: 4144166; 2010: 5708940] comprise 12.2% of the population of Spain. Growth from 2001 to 2008 = +281%.
 
14
Personal communication by e-mail from Dr. Feliciano Ramos, the current president of the AEGH (December, 2010). With this new survey, the AEGH will update the data from 2005, the last date on which the most recent information was collected regarding professionals, centres and laboratories involved with clinical genetics.
 
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Metadata
Title
A Survey of Ethical and Professional Challenges Experienced by Spanish Health-Care Professionals that Provide Genetic Counseling Services
Authors
Reyes Abad-Perotín
Ángel Asúnsolo-Del Barco
Agustín Silva-Mato
Publication date
01-02-2012
Publisher
Springer US
Published in
Journal of Genetic Counseling / Issue 1/2012
Print ISSN: 1059-7700
Electronic ISSN: 1573-3599
DOI
https://doi.org/10.1007/s10897-011-9382-9

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