Table 1.

Obstacles to follow up medical services upon return of genetic information.

Service Barriers

Lack of readiness among FQHCs to incorporate genetic findings into primary care

Insurance Barriers

Lack of health insurance

Barriers to obtaining health insurance, such as immigration status

“Underinsurance” due to inadequate coverage or high cost to policyholder

Reluctance among some providers or medical centers to accept non-emergency referrals of uninsured patients or patients insured by Medicaid

Other barriers

Lack of access to genetic research results or to follow up telemedicine services due to “digital divide”

Lack of familiarity or comfort with specialty medical providers and institutions beyond primary care setting

Lack of time or resources to travel to follow up medical appointments