Table 3.
Barriers and facilitating factors of the currently available genetic service delivery models in Quebec.
| NUMBER OF TIMES THE ITEM WAS MENTIONED | ||||||
|---|---|---|---|---|---|---|
| ITEMS | BRCA | LYNCH | FT | FH | ||
| BARRIERS | Lack of professional resources in medical genetics (e.g., genetic counselors, medical geneticists) | 8 | 9 | 5 | 4 | |
| Access to genetic services/patients not referred to genetic services | 3 | 3 | – | – | ||
| Inadequate number or distribution of counseling centers in Quebec | 3 | 3 | – | – | ||
| Insufficient training courses in genetics for general practitioners | 2 | 2 | 1 | 1 | ||
| Administrative slowness | 2 | 1 | 1 | 1 | ||
| Lack of knowledge on genetic diseases (i.e., in primary care) | 2 | 1 | – | – | ||
| Service organization | 2 | 1 | – | 1 | ||
| Tests done outside the costly province | 1 | – | – | – | ||
| Lack of laboratory equipment | 1 | 1 | 1 | 1 | ||
| Low use of modern technologies (PC, internet, electronic records, etc.) | 2 | 2 | – | – | ||
|
FACILITATING
FACTORS |
Availability of specialized staff/qualified personnel | 10 | 11 | 5 | 6 | |
| Availability of specialized centers and laboratories | 3 | 3 | 1 | 2 | ||
| Coverage of genetic tests/test offer | 3 | 3 | 1 | 1 | ||
| Appropriate requests for consultation by the family doctors/specialists | 2 | 2 | – | – | ||
| Research | 1 | 1 | 1 | 1 | ||
Lynch, Lynch syndrome; FH, familial hypercholesterolemia; FT, familial thrombophilia.