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. 2019 May 16;104(6):1088–1096. doi: 10.1016/j.ajhg.2019.04.006

Table 3.

Process Sub-domains and Concepts

Sub-domains Concepts
Healthcare System Processes

Intervention adoption participation of individuals receiving care, sites, health systems & providers; uptake adherence; satisfaction; sustained delivery; payer coverage
Implementation climate implementation readiness; access to resources; knowledge & information; compatibility with workflow; leadership engagement

Clinician Processes

Intervention-related adoption; recommendations
Behaviors cultural appropriateness; communication style

Individual & Family Processes

Biological/clinical processes and markers biomarkers measured in blood, urine, saliva, sweat
Psychological and behavioral processes experiences; satisfaction with procedures and materials; understanding of results; health behavior changes in response to results; psychological effects of testing and results (positive and negative); impact of medical recommendations and following of medical recommendations

Communication

Nature & quality of communication between stakeholders individuals in care, families, providers, labs, payers
stakeholder engagement and input into processes