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Implementing non-invasive prenatal testing for aneuploidy in a national healthcare system: global challenges and national solutions.
- Source :
-
BMC Health Services Research . 9/19/2017, Vol. 17, p1-10. 10p. 3 Diagrams, 1 Chart. - Publication Year :
- 2017
-
Abstract
- <bold>Background: </bold>Since the introduction of non-invasive prenatal testing (NIPT) in 2011, mainly by commercial companies, a growing demand for NIPT from the public and healthcare professionals has been putting pressure on the healthcare systems of various countries. This study identifies the challenges of establishing a responsible implementation of NIPT for aneuploidy in prenatal healthcare, by looking at the Netherlands.<bold>Methods: </bold>A mixed methods approach involving 13 stakeholder interviews, document analysis and (participatory) observations of the Dutch NIPT Consortium meetings were used. The Diffusion of Innovation Theory and a Network of Actors model were used to interpret the findings.<bold>Results: </bold>Implementation of NIPT was facilitated by several factors. The set-up of a national NIPT Consortium enabled discussion and collaboration between stakeholders. Moreover, it led to the plan to offer NIPT through a nationwide research setting (TRIDENT studies), which created a learning phase for careful implementation. The Dutch legal context was perceived as a delaying factor, but eventually gave room for the parties involved to organise themselves and their practices.<bold>Conclusions: </bold>This study shows that implementing advanced technologies with profound effects on prenatal care benefit from a learning phase that allows time to carefully evaluate the technical performance and women's experiences and to enable public debate. Such a coordinated learning phase, involving all stakeholders, will stimulate the process of responsible and sustainable implementation. [ABSTRACT FROM AUTHOR]
- Subjects :
- *NATIONAL health services
*PRENATAL care
*PRENATAL diagnosis
*MEDICAL personnel
*ANEUPLOIDY
*COST effectiveness
*DECISION making
*DIFFUSION of innovations
*FETAL ultrasonic imaging
*HEALTH attitudes
*INTERNATIONAL relations
*HEALTH policy
*GENETIC testing
*QUALITATIVE research
*PATIENTS' attitudes
Subjects
Details
- Language :
- English
- ISSN :
- 14726963
- Volume :
- 17
- Database :
- Academic Search Index
- Journal :
- BMC Health Services Research
- Publication Type :
- Academic Journal
- Accession number :
- 125236091
- Full Text :
- https://doi.org/10.1186/s12913-017-2618-0