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A Survey of Ethical and Professional Challenges Experienced by Spanish Health-Care Professionals that Provide Genetic Counseling Services

机译：提供基因咨询服务的西班牙卫生保健专业人员遇到的职业道德挑战的调查

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摘要

Genetic testing is increasingly applied for diagnosis and clinical treatment. In some countries, genetic counseling services are provided by professionals with specific training in this discipline, whereas other countries have no teaching programs and counseling is offered by physicians, nurses, pharmacists or biochemists. This counseling raises more and more ethical dilemmas for health professionals at their clinics. The purpose of this study was to analyze the characteristics of Spanish professionals devoted to providing genetic counseling services and to investigate the frequency of the ethical dilemmas they face. Results from 72 survey respondents revealed this counseling is provided by an almost even number of male and female professionals, mostly physicians with many years of professional experience. The overall frequency of the ethical dilemmas encountered was not high. The most frequent dilemmas corresponded to emotional responses by patients, informed consent, uncertainty about test results, and limitations on health-care resources. The frequency of dilemmas involving discrimination and provider directiveness was very low. Additional findings, practice implications, and research recommendations are presented.
机译：基因检测越来越多地用于诊断和临床治疗。在某些国家/地区，遗传咨询服务是由经过专业培训的专业人员提供的，而在其他国家/地区，则没有教学计划，而医师，护士，药剂师或生物化学家则提供咨询服务。这种咨询给诊所的卫生专业人员带来了越来越多的道德困境。这项研究的目的是分析致力于提供遗传咨询服务的西班牙专业人员的特征，并调查他们面临的道德困境的发生频率。来自72位调查受访者的结果表明，这种咨询是由几乎相等数量的男性和女性专业人员提供的，其中大多数是具有多年专业经验的医生。所遇到的道德困境的总体发生率不高。最常见的困境是患者的情绪反应，知情同意，测试结果的不确定性和医疗资源的限制。涉及歧视和提供者指导的两难困境的发生率非常低。介绍了其他发现，实践意义和研究建议。

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    《Journal of Genetic Counseling》 |2012年第1期|p.85-100|共16页
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