Publications et travaux de recherche
2022
Pasquier, Laurent; Minguet, Guy; Moisdon-Chataigner, Sylvie; Jarno, Pascal; Denizeau, Philippe; Volf, Ginette; Odent, Sylvie; Moutel, Grégoire
How do non-geneticist physicians deal with genetic tests ? A qualitative analysis Article de journal
Dans: European Journal of Human Genetics, vol. 30, p. 320-331, 2022.
Résumé | Liens | BibTeX | Étiquettes: Génétique
@article{Pasquier2022,
title = {How do non-geneticist physicians deal with genetic tests ? A qualitative analysis},
author = {Laurent Pasquier and Guy Minguet and Sylvie Moisdon-Chataigner and Pascal Jarno and Philippe Denizeau and Ginette Volf and Sylvie Odent and Grégoire Moutel },
doi = {10.1038/s41431-021-00884-z},
year = {2022},
date = {2022-03-30},
urldate = {2022-03-30},
journal = {European Journal of Human Genetics},
volume = {30},
pages = {320-331},
abstract = {Genetic testing is accepted to be a common practice in many medical specialties. These genetic tests raise issues such as respect for basic rights, how to handle results and uncertainty and how to balance concerns for medical confidentiality with the rights of third parties. Physicians need help to deal with the rapid development of genomic medicine as most of them have received no specific training on the medical, ethical, and social issues involved. Analyzing how these professionals integrate genetic testing into the patient-provider relationship is essential to paving the way for a better use of genomics by all. We conducted a qualitative study comprising a series of focus groups with 21 neurologists and endocrinologists about their genetic testing practices in the western part of France. The interviews were transcribed and analyzed for major themes. We identified an automated care management procedure of genetic testing that affects patient autonomy. The simple fact of having a written consent cannot justify a genetic test given the stakes associated with the results. We also suggest orienting practices toward a systemic approach using a multidisciplinary team or network to provide resources for dealing with uncertainties in interpreting results or situations that require additional technical or clinical skills and, if necessary, to allow for joint consultations with both a geneticist and a non-geneticist medical specialist.},
keywords = {Génétique},
pubstate = {published},
tppubtype = {article}
}
Genetic testing is accepted to be a common practice in many medical specialties. These genetic tests raise issues such as respect for basic rights, how to handle results and uncertainty and how to balance concerns for medical confidentiality with the rights of third parties. Physicians need help to deal with the rapid development of genomic medicine as most of them have received no specific training on the medical, ethical, and social issues involved. Analyzing how these professionals integrate genetic testing into the patient-provider relationship is essential to paving the way for a better use of genomics by all. We conducted a qualitative study comprising a series of focus groups with 21 neurologists and endocrinologists about their genetic testing practices in the western part of France. The interviews were transcribed and analyzed for major themes. We identified an automated care management procedure of genetic testing that affects patient autonomy. The simple fact of having a written consent cannot justify a genetic test given the stakes associated with the results. We also suggest orienting practices toward a systemic approach using a multidisciplinary team or network to provide resources for dealing with uncertainties in interpreting results or situations that require additional technical or clinical skills and, if necessary, to allow for joint consultations with both a geneticist and a non-geneticist medical specialist.
2019
Pasquier, Laurent; Isidor, Bertrand; Rial-Sebbag, Emmanuelle; Odent, Sylvie; Minguet, Guy; Moutel, Grégoire
Population genetic screening: current issues in a European country Article de journal
Dans: European journal of human genetics, vol. 27, no. 9, p. 1321-1323, 2019.
Liens | BibTeX | Étiquettes: Génétique
@article{Pasquier2019,
title = {Population genetic screening: current issues in a European country},
author = {Laurent Pasquier and Bertrand Isidor and Emmanuelle Rial-Sebbag and Sylvie Odent and Guy Minguet and Grégoire Moutel},
doi = {10.1038/s41431-019-0425-2},
year = {2019},
date = {2019-05-08},
journal = {European journal of human genetics},
volume = {27},
number = {9},
pages = {1321-1323},
keywords = {Génétique},
pubstate = {published},
tppubtype = {article}
}