Genesurance counseling has been identified as an integral part of many genetic counseling sessions, but little is known about the workflow impacts and genetic counselor perceptions of genesurance‐related tasks. In this study, we aimed to characterize how insurance and billing considerations for genetic testing are being incorporated into genetic counselors' practice in the United States, as well as describe current attitudes and challenges associated with their integration. An electronic survey was sent by email to members of the National Society of Genetic Counselors (NSGC). A total of 325 American Board of Genetic Counselors‐certified genetic counselors who provide direct patient care in the United States for at least 50% of their time were included in data analysis. Results showed that the frequency and timing of various insurance‐ and billing‐related tasks were not consistent among respondents, even those practicing in similar settings. Inadequate training to complete tasks was reported by 64% of respondents, and 47% reported a lack of resources from their employer and/or institution to complete genesurance tasks. Additionally, only 38% of respondents agreed that insurance‐ and billing‐related tasks were within the scope of the genetic counseling practice, and there was little consensus on who respondents believe is the most appropriate person to complete these tasks. When asked how genesurance considerations affected job satisfaction, 85% of respondents reported a negative impact. This study found an inconsistent genesurance workflow among genetic counselors practicing in the United States, a lack of consensus on who should be responsible for genesurance tasks, several challenges associated with completing these tasks, and identifies genesurance considerations as potential risk factors for genetic counselor burnout.

中文翻译：

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遗传因素对遗传咨询师的实践和态度的影响。

基因保险咨询已被确定为许多遗传咨询会议不可或缺的一部分，但对工作流程的影响以及遗传咨询相关任务的遗传咨询师知之甚少。在这项研究中，我们旨在表征基因检测的保险和计费注意事项如何被纳入美国遗传咨询师的实践中，并描述与融合有关的当前态度和挑战。电子调查通过电子邮件发送给国家遗传咨询师协会（NSGC）的成员。数据分析包括总共325位经过美国遗传咨询委员会认证的遗传咨询师，这些顾问在美国至少有50％的时间提供直接的患者护理。结果显示，与保险和计费相关的各种任务的频率和时机在受访者之间，甚至在相似环境中的受访者之间也不一致。64％的受访者表示培训不足以完成任务，而47％的受访者表示，他们的雇主和/或机构缺乏资源来完成创始任务。此外，只有38％的受访者同意与保险和账单相关的任务属于遗传咨询实践的范围，并且对于谁认为受访者认为最适合完成这些任务的人并没有达成共识。当被问及性别因素如何影响工作满意度时，有85％的受访者表示有负面影响。这项研究发现在美国执业的遗传咨询师之间的遗传工作流程不一致，