Link to the University of Pittsburgh Homepage
Link to the University Library System Homepage Link to the Contact Us Form

Regional Challenges and Advances in Telegenetics During the COVID-19 Pandemic

Reding, Madeline (2021) Regional Challenges and Advances in Telegenetics During the COVID-19 Pandemic. Master's Thesis, University of Pittsburgh. (Unpublished)

[img] PDF
Restricted to University of Pittsburgh users only until 6 July 2023.

Download (2MB) | Request a Copy

Abstract

During the COVID-19 pandemic, telehealth services were rapidly implemented to continue providing care to patients. The New York-Mid Atlantic Caribbean (NYMAC) Regional Genetics Network (RGN) has worked to facilitate the use of telehealth to improve access to genetics services in the region.
This study surveyed and interviewed NYMAC genetics providers to assess barriers and facilitators to the provision of telegenetics during the COVID-19 pandemic, the perceived value and demand for telegenetics services during this time, and any resources necessary to continue using telegenetics after the pandemic.
A 29-question survey was developed and distributed in July 2020 through multiple email listservs, receiving 169 responses. Among respondents, the most commonly reported barriers to telegenetics prior to COVID-19 were inadequate funding/billing/reimbursement (14% of selections; n=54) and lack of institutional support (12%; n=45). During the pandemic, workflow/logistical issues (22%; n=45) ranked most highly. Facilitators were similar before and during the pandemic, and included provider interest, patient interest and institutional support. Approximately 60% of respondents (n=48) said they planned to continue providing telehealth services after the pandemic while 7% (n=6) did not, showing uncertainty about the future of telegenetics in the region.
For the interviews, NYMAC TCOP leadership invited members to participate. Five genetics providers were interviewed, with each interview recorded and transcribed. Thematic analysis was performed and six themes and two sub-themes were identified: the Benefits of Telehealth; the Limitations of Telehealth (sub-themes: Social Factors and Patient Technology); External Factors; Evolving Models; Provider Adaptation; and Institutional Engagement.
Results show that NYMAC genetics providers had diverse experiences adapting to the COVID-19 pandemic, informed by prior experiences with telehealth, practice settings, patient populations, and chosen service delivery models. Even so, each participant described a role for telegenetics in the future, to retain the flexibility to meet patient needs and ensure broader access services. Participants described policies and resources that would facilitate the future use of telegenetics, including changes to licensure and reimbursement policies, CMS recognition of genetic counselors, and funding. This study is significant to public health because it indicates areas in which NYMAC and other organizations may provide support to telegenetics programs moving forward.


Share

Citation/Export:
Social Networking:
Share |

Details

Item Type: University of Pittsburgh ETD
Status: Unpublished
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Reding, MadelineMQR2@pitt.edumqr2
ETD Committee:
TitleMemberEmail AddressPitt UsernameORCID
Committee ChairDurst, Andreaadurst@pitt.eduadurst
Committee MemberGrubs, Robinrgrubs@pitt.edurgrubs
Committee MemberDocumet, Patriciapdocumet@pitt.edupdocumet
Committee MemberTerry, Alissa Boveealissa.bovee@gmail.com
Date: 6 July 2021
Date Type: Publication
Defense Date: 14 June 2021
Approval Date: 6 July 2021
Submission Date: 28 June 2021
Access Restriction: 2 year -- Restrict access to University of Pittsburgh for a period of 2 years.
Number of Pages: 190
Institution: University of Pittsburgh
Schools and Programs: Graduate School of Public Health > Public Health Genetics
Degree: MS - Master of Science
Thesis Type: Master's Thesis
Refereed: Yes
Uncontrolled Keywords: telegenetics, genetic counseling, genetics, telehealth, COVID-19, alternative service delivery models, NYMAC, New York-Mid Atlantic Caribbean Regional Genetics Network, public health, access to care
Date Deposited: 06 Jul 2021 12:39
Last Modified: 06 Jul 2021 12:39
URI: http://d-scholarship.pitt.edu/id/eprint/41348

Metrics

Monthly Views for the past 3 years

Plum Analytics


Actions (login required)

View Item View Item