Genetische Diagnostik an kranken Menschen
Genetische Diagnostik im Kindes- und Jugendalter. Aspekte ärztlichen Handelns.
Genetic tests have become an important part of clinical diagnosis. As most genetic diseases are already diagnosed in childhood or adolescence, problems arise concerning informed consent and assent by children and young people. The rapid development of genetic knowledge poses considerable challenges to the genetic knowledge of physicians and to their competence in counselling about complex facts. The problems mentioned are analysed with respect to their judicial, ethical and practical impact. In addition, the differing self-perception of the various specialist fields in medicine are discussed. Demands are made to adapt genetic counselling to the special needs of children and to improve knowledge about genetic diseases in the population. As regards the restructuring of hospitals and the health care system in general, it is suggested to improve the ways in which different medical specialists interact. Joint out-patient clinics or quality management groups could help to intensify co-operation between medical specialists and could help to improve comprehensive counselling und treatment for patients and clients.Zum vollständigen Artikel | Artikel bestellen