Genetic Counseling and Testing in a Community Setting: Quality, Access, and Efficiency

Am Soc Clin Oncol Educ Book. 2019 Jan;39:e34-e44. doi: 10.1200/EDBK_238937. Epub 2019 May 17.


There is an increasing need for genetic counseling and testing for individuals diagnosed with cancer, as treatment may be affected by the results. In addition, the identification of individuals before a diagnosis of cancer allows for optimal surveillance and early detection and prevention of cancer. With the recognition that as much as 10% of all cancers are hereditary, there is a growing need to improve access to genetic counseling and genetic testing, both before and at the time of diagnosis. This article focuses on models of identifying at-risk patients, including underserved communities; providing genetic counseling and testing in community practices; using telehealth; and collaborating with nongenetics health care providers and technological solutions to maximize efficiency and access.

Publication types

  • Review

MeSH terms

  • Community Health Services*
  • Female
  • Genetic Association Studies
  • Genetic Counseling*
  • Genetic Predisposition to Disease
  • Genetic Testing*
  • Health Personnel
  • Health Services Accessibility
  • Humans
  • Intersectoral Collaboration
  • Medical Oncology / methods
  • Medical Oncology / standards
  • Neoplasms / diagnosis
  • Neoplasms / epidemiology*
  • Neoplasms / genetics*
  • Public Health Surveillance
  • Quality Improvement
  • Quality of Health Care
  • Telemedicine / methods
  • Vulnerable Populations