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Catalog
2023 ACMG Annual Clinical Genetics Meeting Digital ...
Patients from Historically Marginalized Background ...
Patients from Historically Marginalized Backgrounds are Referred to Clinical Genetics at Lower Rates in a Large Academic Health System
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Pdf Summary
This study explores the referral rates to clinical genetics for patients from historically marginalized backgrounds in a large academic health system. The researchers use a mixed-effects logistic regression model to analyze the impact of social determinants of health on primary care referrals to outpatient subspecialty genetics clinics. <br /><br />The study finds that patients from historically marginalized racial/ethnic populations are referred to clinical genetics at lower rates. This disparity could be influenced by various factors such as a lack of diversity in medical genetics education, variable dysmorphology in diverse populations, biases in medical genetics exposure and familiarity, and the effects of racism. <br /><br />Additionally, the study reveals that males are more likely to be referred to clinical genetics, potentially due to biology, specifically X-linked recessive conditions. Patients with public insurance also have higher referral rates, which may be driven by eligibility criteria for medically complex children.<br /><br />The findings of this study emphasize the need for equitable access to and delivery of care in primary care pediatrics and medical genetics. Addressing social determinants of health, including structural, patient demographic, patient health, and care provider variables, is crucial to ensuring equal access to genetic subspecialty services.<br /><br />In conclusion, patients from historically marginalized backgrounds have lower referral rates to clinical genetics in this large academic health system. The reasons for this disparity are complex and multifactorial, involving factors such as lack of diversity in education, biases, and the effects of racism. Recognizing and addressing these barriers is essential to achieving equitable healthcare outcomes for all patients.
Asset Subtitle
Presenting Author - Jessica Priestley, MD, PhD; Co-Author - Ian M. Campbell, MD, PhD; Co-Author - Paula Roig Opio, B.S.; Co-Author - Rebecca D. Ganetzky, MD, FACMG; Co-Author - Francis Jeshira Reynoso Santos, MD, FACMG; Co-Author - George Dalembert, MD;
Meta Tag
Ethical Legal and Social Issues
Co-Author
Ian M. Campbell, MD, PhD
Co-Author
Paula Roig Opio, B.S.
Co-Author
Rebecca D. Ganetzky, MD, FACMG
Co-Author
Francis Jeshira Reynoso Santos, MD, FACMG
Co-Author
George Dalembert, MD
Presenting Author
Jessica Priestley, MD, PhD
Keywords
referral rates
clinical genetics
marginalized backgrounds
social determinants
racial/ethnic populations
diversity in education
effects of racism
X-linked recessive conditions
public insurance
equitable healthcare
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