Implementing Publicly Funded Noninvasive Prenatal Testing for Fetal Aneuploidy in Ontario, Canada
Clinician Experiences With a Disruptive Technology
Bibliographic Data
| ID | 4633989 |
|---|---|
| Authors | R Burge (0000-0003-3131-366X, McMaster University, Hamilton, Ontario, Canada), Alexandru Cernat (0000-0001-6007-7825, University of Toronto, Toronto, Ontario, Canada), Leichelle Little (University of Western Ontario, London, Ontario, Canada), Meredith Vanstone (0000-0002-7347-6259, McMaster University, Hamilton, Ontario, Canada, corresponding author) |
| Year | 2020 |
| Volume | 30 |
| Issue | 12 |
| Pages | 1941-1952 |
| Publication date | 2020-10-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Qualitative Health Research (JOURNAL) |
| Journal identifiers | ISSN: 1049-7323 • E-ISSN: 1552-7557 |
| Publisher | SAGE Publications Inc (PUBLISHER) |
| DOI | 10.1177/1049732320945303 |
| PMID | 32741258 |
| OpenAlex | W3046753280 |
| Language | EN |
| Citations received | 1 |
| References cited | 50 |
The last decade has experienced unprecedented uptake of noninvasive prenatal testing (NIPT), creating significant changes in the way prenatal clinicians provide services. Through the lens of social shaping of technology, we examine the effects of the introduction of this technology on the health care system in Ontario, Canada. Using a qualitative descriptive approach, we conducted a cross-sectional study investigating clinicians' perspectives of NIPT in 2014, 2016, and 2018. Through in-depth interviews ( n = 37), we explored their perspectives on the impact of NIPT on their referral practices, workload, coordination of testing modalities, education and counseling, and elicited their views on recent expansions of the test. Findings suggest that the introduction of NIPT has created unintended consequences with respect to clinician workload and wellness, clinician education, equity of access, and public system resources. Responsiveness from decision makers is key to ensuring the responsible use of NIPT in the health care system
Environmental health · Family medicine · Health care · Medical education · Modalities · Political science · Prenatal care · Referral · Workload · Fetal and Pediatric Neurological Disorders · Medicine · Nursing · Parvovirus B19 Infection Studies · Prenatal Screening and Diagnostics
Introducing the ‘What's the Problem Represented to be?’ approach
The social shaping of technology
Burnout in medical students
Prevalence of Depression, Depressive Symptoms, and Suicidal Ideation Among Medical Students
Prenatal Care Use Among Women of Low Income
Public viewpoints on new non-invasive prenatal genetic tests
The Shifting Landscape of Prenatal Testing
How is technology made?--That is the question
The Significance of Saturation
Responsible research and innovation
How genetics came to the unborn
What is Wrong with Social Theory
Women's Experiences of Publicly Funded Non-Invasive Prenatal Testing in Ontario, Canada
Reconciling ethical and economic conceptions of value in health policy using the capabilities approach
Developmental sequence in small groups
Grounded Theory and Sensitizing Concepts
Implementing, Embedding, and Integrating Practices
| Citations per year | 1 |
|---|---|
| Citation span | 2025 - 2025 (1) |
| Highly cited | No |