主题分析
考试(生物学)
偏爱
家庭医学
医学
遗传咨询
人口
公共卫生
定性研究
范围(计算机科学)
妇科
心理学
护理部
环境卫生
计算机科学
社会学
社会科学
遗传学
程序设计语言
经济
生物
微观经济学
古生物学
作者
Adeline Perrot,Angus Clarke,Carine Vassy,Ruth Horn
摘要
Abstract Non‐invasive prenatal testing (NIPT) is provided in the private and public sectors worldwide as a first‐ or second‐tier test. In England and France, NIPT is fully funded and offered as a contingent strategy with different probability cut‐offs (1:150 and 1:1000). These different approaches to define the target population for NIPT have implications for how women experience their antenatal care. The paper explores and compares the perceptions and difficulties of women in England and France who took NIPT as a second‐tier screening test. It is based on a semi‐structured qualitative interview study with 17 women in England and France conducted between September 2021 and May 2022. The interviews were cross‐analyzed using thematic analysis. Our findings show that most women express a preference for the offer of NIPT as a first‐line screening test. Some issues with the contingent model, related to the access to information and termination of pregnancy (TOP), the disparities of NIPT uptake, and risks of generating anxiety with combined first‐trimester screening (cFTS), could be addressed by a universal strategy for T21, T13, and T18. Nevertheless, this strategy could present some challenges for genetic counseling due to: women's understanding and expectations of NIPT; adequate information and counseling about the scope and limits of NIPT; concerns about the routinization of NIPT in the first‐line offer; limitations and uncertainties associated with the provision of expanded NIPT in France; the remaining importance of other screening tests; and associated costs.
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