Randomized Trial of Telegenetics vs. In-Person Cancer Genetic Counseling: Cost, Patient Satisfaction and Attendance (original) (raw)

Journal of genetic counseling, 2015

Abstract

Telegenetics-genetic counseling via live videoconferencing-can improve access to cancer genetic counseling (CGC) in underserved areas, but studies on cancer telegenetics have not applied randomized methodology or assessed cost. We report cost, patient satisfaction and CGC attendance from a randomized trial comparing telegenetics with in-person CGC among individuals referred to CGC in four rural oncology clinics. Participants (n = 162) were randomized to receive CGC at their local oncology clinic in-person or via telegenetics. Cost analyses included telegenetics system; mileage; and personnel costs for genetic counselor, IT specialist, and clinic personnel. CGC attendance was tracked via study database. Patient satisfaction was assessed 1 week post-CGC via telephone survey using validated scales. Total costs were 106pertelegeneticspatientand106 per telegenetics patient and 106pertelegeneticspatientand244 per in-person patient. Patient satisfaction did not differ by group on either satisfaction scale. In-person patients were significantl...

Martha Adams hasn't uploaded this paper.

Let Martha know you want this paper to be uploaded.

Ask for this paper to be uploaded.