title: Opportunities and impediments for a consolidating and expanding profession: genetic counseling in the United States.
abstract: Genetic counseling in the United States is consolidating and expanding its professional identity at a point in time when major biotechnological advances are rapidly being incorporated into clinical genetic practice and major shifts in the American health care system are being carried out under a mandate of cost-containment. External factors--biomedical advances, political and economic contexts, managed care organizations, health economics criteria and exclusionary strategies of related health care occupations--combined with internal factors--training and certification requirements, specialization, leadership talent and ability to adapt to changing conditions--will strongly influence the structure and scope of genetic counseling services in the coming years.
authors.affiliation: Department of Sociology and Anthropology, College of New Jersey, Trenton 08540-4700, USA.
authors.forename: R H
authors.initials: RH
authors.lastname: Kenen
mesh_terms: D001709:Biotechnology / Q000191:economics / Q000639:trends; D002321:Career Choice; D003363:Cost Control / Q000639:trends; D005260:Female; D005544:Forecasting; D005817:Genetic Counseling / Q000191:economics / Q000639:trends*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D008329:Managed Care Programs / Q000191:economics / Q000639:trends; D010348:Patient Care Team / Q000191:economics / Q000639:trends*; D011247:Pregnancy; D014481:United States