Mapping the use of cardiovascular genetic services in pediatric clinical care: challenges and opportunities for improvement
PurposeClinical genetic testing is increasingly integrated in managing and diagnosing cardiac conditions and disease. It is important to identify ongoing challenges. This study aimed to better understand how genetic testing is integrated into pediatric cardiac care and identify barriers and opportun...
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Frontiers Media S.A.
2025-01-01
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| Series: | Frontiers in Genetics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fgene.2024.1476466/full |
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| author | Kerstin Hundal Courtney L. Scherr Hoda Fakhari Sanjana Ramesh Lisa Dellefave-Castillo Deb Duquette Sara Cherny Elizabeth M. McNally Gregory Webster Laura J. Rasmussen-Torvik Laura J. Rasmussen-Torvik |
| author_facet | Kerstin Hundal Courtney L. Scherr Hoda Fakhari Sanjana Ramesh Lisa Dellefave-Castillo Deb Duquette Sara Cherny Elizabeth M. McNally Gregory Webster Laura J. Rasmussen-Torvik Laura J. Rasmussen-Torvik |
| author_sort | Kerstin Hundal |
| collection | DOAJ |
| description | PurposeClinical genetic testing is increasingly integrated in managing and diagnosing cardiac conditions and disease. It is important to identify ongoing challenges. This study aimed to better understand how genetic testing is integrated into pediatric cardiac care and identify barriers and opportunities for improvement.MethodsWe conducted qualitative interviews with pediatric cardiology clinicians (N = 12). Following a journey mapping approach to data analysis, we described genetic testing workflow phases, participants’ thoughts and behaviors within each phase, and barriers and opportunities for improvement.ResultsParticipants described several challenges across the genetic testing workflow, from identifying patients for testing to disclosing results to the patients. Testing logistics, decision-making, and collaboration emerged as the most prominent challenges. Variation remains in the utilization of genetic testing, partially driven by case complexity and type of testing and attributable to other factors, like the level of interaction with genetics experts and inconsistent processes within the electronic medical record.ConclusionClinical genetic pediatric cardiology requires more systematic integration of genetic testing and transparent processes. Major opportunities include the interplay between clinicians, genetic experts, and the EMR. Incorporating process mapping results into clinical logistics may eradicate some barriers experienced by pediatric cardiologists and increase clinical efficiency. |
| format | Article |
| id | doaj-art-70b13c2a5e854b9ea08fbd0c78ce1927 |
| institution | Kabale University |
| issn | 1664-8021 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Genetics |
| spelling | doaj-art-70b13c2a5e854b9ea08fbd0c78ce19272025-01-07T06:42:28ZengFrontiers Media S.A.Frontiers in Genetics1664-80212025-01-011510.3389/fgene.2024.14764661476466Mapping the use of cardiovascular genetic services in pediatric clinical care: challenges and opportunities for improvementKerstin Hundal0Courtney L. Scherr1Hoda Fakhari2Sanjana Ramesh3Lisa Dellefave-Castillo4Deb Duquette5Sara Cherny6Elizabeth M. McNally7Gregory Webster8Laura J. Rasmussen-Torvik9Laura J. Rasmussen-Torvik10Department of Communication Studies, Northwestern University, Evanston, IL, United StatesDepartment of Communication Studies, Northwestern University, Evanston, IL, United StatesDepartment of Communication Studies, Northwestern University, Evanston, IL, United StatesDepartment of Communication Studies, Northwestern University, Evanston, IL, United StatesCenter for Genetic Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, United StatesCenter for Genetic Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, United StatesDivision of Cardiology (Pediatrics), Ann and Robert H. Lurie Children’s Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesCenter for Genetic Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, United StatesDivision of Cardiology (Pediatrics), Ann and Robert H. Lurie Children’s Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesCenter for Genetic Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, United StatesDepartment of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, United StatesPurposeClinical genetic testing is increasingly integrated in managing and diagnosing cardiac conditions and disease. It is important to identify ongoing challenges. This study aimed to better understand how genetic testing is integrated into pediatric cardiac care and identify barriers and opportunities for improvement.MethodsWe conducted qualitative interviews with pediatric cardiology clinicians (N = 12). Following a journey mapping approach to data analysis, we described genetic testing workflow phases, participants’ thoughts and behaviors within each phase, and barriers and opportunities for improvement.ResultsParticipants described several challenges across the genetic testing workflow, from identifying patients for testing to disclosing results to the patients. Testing logistics, decision-making, and collaboration emerged as the most prominent challenges. Variation remains in the utilization of genetic testing, partially driven by case complexity and type of testing and attributable to other factors, like the level of interaction with genetics experts and inconsistent processes within the electronic medical record.ConclusionClinical genetic pediatric cardiology requires more systematic integration of genetic testing and transparent processes. Major opportunities include the interplay between clinicians, genetic experts, and the EMR. Incorporating process mapping results into clinical logistics may eradicate some barriers experienced by pediatric cardiologists and increase clinical efficiency.https://www.frontiersin.org/articles/10.3389/fgene.2024.1476466/fullclinical geneticspediatricsjourney mappingcardiologygenetic integration |
| spellingShingle | Kerstin Hundal Courtney L. Scherr Hoda Fakhari Sanjana Ramesh Lisa Dellefave-Castillo Deb Duquette Sara Cherny Elizabeth M. McNally Gregory Webster Laura J. Rasmussen-Torvik Laura J. Rasmussen-Torvik Mapping the use of cardiovascular genetic services in pediatric clinical care: challenges and opportunities for improvement Frontiers in Genetics clinical genetics pediatrics journey mapping cardiology genetic integration |
| title | Mapping the use of cardiovascular genetic services in pediatric clinical care: challenges and opportunities for improvement |
| title_full | Mapping the use of cardiovascular genetic services in pediatric clinical care: challenges and opportunities for improvement |
| title_fullStr | Mapping the use of cardiovascular genetic services in pediatric clinical care: challenges and opportunities for improvement |
| title_full_unstemmed | Mapping the use of cardiovascular genetic services in pediatric clinical care: challenges and opportunities for improvement |
| title_short | Mapping the use of cardiovascular genetic services in pediatric clinical care: challenges and opportunities for improvement |
| title_sort | mapping the use of cardiovascular genetic services in pediatric clinical care challenges and opportunities for improvement |
| topic | clinical genetics pediatrics journey mapping cardiology genetic integration |
| url | https://www.frontiersin.org/articles/10.3389/fgene.2024.1476466/full |
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