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. 2022 Oct 21;13(10):1919. doi: 10.3390/genes13101919

Table 3.

Model of service delivery.

Model n, (%) Quote from Text
Nephrologist refers to multidisciplinary renal genetics’ clinic 16 (64) I like the multidisciplinary clinic. So it’s a one-stop-shop for the patient. The diagnostics, counselling and the support at the same time, together with the nephrologist referring the patient as ongoing care and implementing. HD9
Nephrologist orders test and returns result with clinical genetics support as needed 3 (12) Being able to order tests yourself, you can overcome the barrier of waiting lists and then liaise directly with the Renal Geneticist and things get done before the patient be seen in the clinic. …So if we can get a start on some of the investigations and tests before going to the Renal Genetics clinic, it may also make that a bit more efficient. CN2
Nephrologist refers to clinical genetics 2 (8) I would prefer the third model. The reason being I worked in cancer care and maternity services. In those two services, they have an external genetic service and I think their model works quite well and their geneticists are linked in with their services. Again in neither of those services, the genetic referrals are not common but get enough volume to have an established relation and that worked quite well. CN11
Combination of two or more models 4 (16) Combination of the first two is my preferred model. I am comfortable ordering a test for Tuberous Sclerosis for example working in the area but I won’t order tests for other panels that I am not comfortable with. To use a multidisciplinary renal clinic with a geneticist and a nephrologist it would add depth to the clinic. CN10