Chapter

Access to genetic services in the United States: A challenge to genetics in public health

Jane S. Lin-Fu and Michele Lloyd-puryear

in Genetics and Public Health in the 21st Century

Published in print September 2000 | ISBN: 9780195128307
Published online September 2009 | e-ISBN: 9780199864485 | DOI: http://dx.doi.org/10.1093/acprof:oso/9780195128307.003.0015

Series: Oxford Monographs on Medical Genetics

Access to genetic services in the United States: A challenge to genetics in public health

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Dramatic advances in genetics in recent decades have opened many opportunities for understanding and promoting health, lowering mortality and morbidity, and preventing diseases. These advances, however, have also posed a grave challenge to the U.S. health care system, which is still neither accessible nor affordable to all. At a time when cost constraint is given top consideration in health care planning, the need to develop the infrastructure for a relatively new type of service—genetic services—has attracted little attention. This chapter argues that integrating genetic services into health programs is a formidable task not only because of the lack of an appropriate infrastructure, but also because certain basic conceptual conflicts and dilemmas first must be resolved.

Keywords: needs assessment; public health; discrepancy model; marketing model; decision-making models

Chapter.  7373 words. 

Subjects: Public Health and Epidemiology

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