Genetic Counseling Analysis

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In this respect, imports mention the Dale Lea works (Lea, 1996). In 1996, Lea wrote a interesting paper entitled “Emerging Quality Improvement Measures in Genetic Counseling”. In this paper, she draw up what is an genetic counseling with quality and how assessment the quality of genetic counselling. First, she warns for the fact that “evaluation of the quality of genetic counseling depends first on recognition of the definition of genetic counseling and its goals” (Lea, 1996). Thereafter, she try define quality in the context of what is an genetic counseling with quality. For define “quality” the author invoke the Vuori (1989 cit in Lea, 1996) notion of quality as “a range of desirable outcomes” that “encompasses effectiveness, efficiency, …show more content…
In addition, for facilitate the adaptation of this notion to the field of genetic counseling she proposes look at the medical definition of “quality of care”. However, she points that this vision is not exempt from criticism because “desired health outcomes are more difficult to define, and more influenced by individual differences in ethical and sociocultural viewpoints” (Lea, 1996). After, she makes an outline about the historically evolution of the assessment of quality in genetic counselling. Initially, at the time of eugenics paradigm, “some researchers and policymakers” regarded an “reduction in number of babies born with genetic conditions” as a “evidence of the quality of their programs” (Lea, 1996). Later with the change of paradigm emerged an new notion about quality of genetic counselling. In this new notion the quality was defined as an significant difference “in the patient's or family's understanding pre and post-genetic counseling encounter” (Antley, 1976; Evers-Kiebooms and Van den Berghe, 1979 cit in Lea, 1996). This is a definition that reflects the prevalence of educational practice model (Kessler, 1997). If the first approach change with the

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