{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T06:08:26Z","timestamp":1761718106620},"reference-count":13,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2009,10,2]],"date-time":"2009-10-02T00:00:00Z","timestamp":1254441600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Genetic Counseling"],"published-print":{"date-parts":[[2009,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Telehealth is increasingly used for outreach service in cancer genetic counseling; however what occurs during the consultation and the roles practitioners adopt is largely unknown. Fifteen practitioners participated in semi\u2010structured interviews that explored their roles within telehealth, compared to face\u2010to\u2010face consultations, and the relationship between practitioners during telehealth. As they were not physically present with the patient, most participants felt that telehealth altered the genetic clinician's role to one of a \u2018visiting specialist\u2019. Genetic counselors described undertaking multiple roles during the telehealth process. Two models of interaction were observed. The medical model reduced the interaction to a dyadic consultation by having the genetic counselor off\u2010screen and included minimal clinician meetings and supervision. The triadic co\u2010facilitation model incorporated a high level of information exchange, counselor autonomy and included the counselor onscreen. The co\u2010facilitation model offers a useful framework for telehealth genetic counselling, offering complementary roles between practitioners and efficient service delivery.<\/jats:p>","DOI":"10.1007\/s10897-009-9247-7","type":"journal-article","created":{"date-parts":[[2009,10,1]],"date-time":"2009-10-01T21:21:25Z","timestamp":1254432085000},"page":"598-605","source":"Crossref","is-referenced-by-count":21,"title":["A Balancing Act\u2014Telehealth Cancer Genetics and Practitioners\u2019 Experiences of a Triadic Consultation"],"prefix":"10.1002","volume":"18","author":[{"given":"Elvira","family":"Zilliacus","sequence":"first","affiliation":[{"name":"Department of Medical Oncology Prince of Wales Hospital Randwick NSW Australia"},{"name":"School of Psychiatry The University of New South Wales Randwick NSW Australia"},{"name":"Psychosocial Research Group Prince of Wales Hospital Level 3, Dickinson Building Randwick NSW 2031 Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bettina","family":"Meiser","sequence":"additional","affiliation":[{"name":"Prince of Wales Clinical School The University of New South Wales Randwick NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Lobb","sequence":"additional","affiliation":[{"name":"Centre for Medical Psychology &amp; Evidence\u2010based Decision\u2010making University of Sydney Sydney NSW Australia"},{"name":"Centre for Cancer &amp; Palliative Care Curtin University of Technology Perth WA Australia"},{"name":"WA Centre for Cancer &amp; Palliative Care Edith Cowan University Perth WA Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristine","family":"Barlow\u2010Stewart","sequence":"additional","affiliation":[{"name":"Centre for Genetics Education North Shore Hospital St Leonards NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine","family":"Tucker","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Sydney Sydney NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2009,10,2]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"Australian Commonwealth Department of Health and Ageing. (2008).Private Health Insurance Administration Council. Retrieved October 10 2008 fromhttp:\/\/www.phiac.gov.au\/"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0738-3991(03)00076-4"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1258\/1357633011937191"},{"issue":"4","key":"e_1_2_8_5_1","first-page":"20","article-title":"Physician acceptance of telemedicine technology: an empirical investigation","volume":"19","author":"Hu P.","year":"1999","journal-title":"Top Health Inform Manage"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1057\/palgrave.jmm.5040066"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1025676205440"},{"key":"e_1_2_8_8_1","first-page":"50","article-title":"What do physicians think of telemedicine? a survey in different European regions","volume":"2","author":"Mairinger T.","year":"1996","journal-title":"International Journal of Medical Marketing"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.3233\/BD-2007-27107"},{"key":"e_1_2_8_10_1","volume-title":"Qualitative data analysis: A sourcebook for new methods","author":"Miles M.","year":"1984"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1258\/1357633021937406"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0738-3991(02)00093-9"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1258\/135763306778558196"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.102.3.563"}],"container-title":["Journal of Genetic Counseling"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s10897-009-9247-7","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1007\/s10897-009-9247-7","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s10897-009-9247-7","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T23:50:27Z","timestamp":1694735427000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s10897-009-9247-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,10,2]]},"references-count":13,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2009,12]]}},"alternative-id":["10.1007\/s10897-009-9247-7"],"URL":"https:\/\/doi.org\/10.1007\/s10897-009-9247-7","archive":["Portico"],"relation":{},"ISSN":["1059-7700","1573-3599"],"issn-type":[{"value":"1059-7700","type":"print"},{"value":"1573-3599","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,10,2]]}}}