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J Med Ethics 26:261-265 doi:10.1136/jme.26.4.261

Genetics services in a social, ethical and policy context: a collaboration between consumers and providers

Table 1

Topics of Concern to Consumers and Providers in Focus Groups (listed in order of importance)

Column A Concerns of Consumers Column B Concerns of Providers
1. Respect for Persons 1. Multiple Constraints that Impede Ideal Services
2. Accuracy of Information 2. Team Approach is Best
3. Knowing When to Refer and Being Willing to do so 3. Access, Availability of Genetic Services
4. Knowing and Communicating own Limitations and  Abilities 4. Safe, Legal Abortion Must be Available and Accessible
5. Describing Expectations at Beginning of Initial Session 5. Spending Adequate Time: Preparation for Session, Initial  Session, Follow-up Sessions
6. Avoiding Facile Judgements of Prognosis 6. Ongoing Evaluation
7. Making no Assumptions about Consumers' Choices or  Values 7. Professional Continuing Education Opportunities
8. Spending Adequate Time: Preparation for Session, Initial  Session, Follow-up Sessions 8. Referring Out Cases When Uncomfortable
9. Education of Ancillary Personnel 9. Continuity of Care
10. Team Approach is Best, with the Consumer as an Equal  Member of the Team 10. Consumer Grievance Procedures
11. Ongoing Evaluation 11. Importance of Setting
12. Communication Skills 12. Pre-Test Counselling a Must
13. Holistic Awareness and Approach That Preserves  Integrity of the Family. 13. Directiveness vs Nondirectiveness
14. Addressing All Aspects of Consumer Situation(s) 14. Familial/communal Aspect of Genetic Counselling
15. Importance of Support Groups, Allied and Community  Services
16. Mentoring: A Step Toward Effective Services

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