A Comparison of Patient Satisfaction with Telehealth and On-Site Consultations: A Pilot Study for Prenatal Genetic Counseling

Many different fields of medicine are now utilizing video conferencing as a means to offer consultations to individuals in rural communities. However, there is a lack of published literature regarding the use of telehealth in clinical genetics and, specifically, in genetic counseling. Those experiences that have been reported mostly centered on cancer genetic counseling, sickle cell anemia consultation and care, or pediatric/adult genetic assessment. In these studies, the patients reported an overall satisfaction with telehealth, signifying that this type of communication may play an important role in the future of medicine. This pilot study compared patient satisfaction with prenatal genetic counseling performed via video conferencing versus that performed on-site. The results show that there was a high level of patient satisfaction when video conferencing was used to conduct prenatal genetic counseling consultations, suggesting that telehealth can be utilized as a means to offer this service to underserved populations. Telehealth refers to any type of communication technology in health care, distance education, transmission of radiological images, etc. The actual screening, diagnosis, treatment, management, etc., using distance technology is referred to as telemedicine.The term on-site indicates that genetic counseling was performed in person, rather than using telehealth.     

Attitudes and uptake of a screening test: The moderating role of ambivalence

This study examined the extent to which ambivalence moderates the relationship between attitudes and screening behaviour in a clinical setting using an objective measure of behaviour. For this study 979 pregnant women eligible for prenatal Down syndrome screening completed questionnaire measures of attitudes, ambivalence and intentions towards undergoing the test. Screening behaviour, assessed by test uptake, was determined from medical records. Attitudes predicted intentions to undergo the test and screening behaviour. The correlations between attitudes and intentions and between attitudes and behaviour were greater in women with lower levels of ambivalence (r?=?0.85 and r?=?0.58, respectively) than in those with higher levels of ambivalence (r?=?0.50 and r?=?0.27, respectively). Regression analyses revealed that ambivalence moderated the relationships between attitudes and intention and between attitude and behaviour. In addition, a three-way interaction was found between ambivalence, attitudes and intention when predicting behaviour. Given that behaving consistently with attitudes is central to making an informed choice, ambivalence appears to undermine the making of such choices.     

产前筛查的几点思考

产前筛查是指通过经济、便捷、无创伤的方法,查找出某些严重病症的高危个体,从而提高出生人口素质。是阻止新生儿出生缺陷的有效手段之一。本文从哲学和医学伦理学角度对产前筛查的认识、意义和运用进行综合分析。     

试论王龙溪的易学哲学

王畿易学认为易之体用不二,易为心易,太极为心之极,反对以易为书、泥于言象;继承和发展了王阳明的良知易说,视<周易>为提高人的道德修养境界的典籍,在修养方法上力倡先天之学,而以自然为宗.王畿易学是宋明时期陆王一路下来心学派易学思想最根本和最集中的体现,对传统易学起到一种解构的作用,是陆王心学在其本质上的必然结果.     

《伊川击壤集》与先天象数学

邵雍《伊川击壤集》中的哲理诗具有知识型架构,不仅关涉象数的推演,而且也有易学义理的申言。其中既包含对邵雍易图体系、“元会运世”说的诠释,也涉及《周易》卦象意义的阐发,非常常由卦象意义引发出对社会和人生的思考。邵雍的心性之咏显示了参透天人的恢宏心宇,观物之吟则表述了观物心得,充满了辩证思维特色。他以卦象入诗使诗歌的哲理意义得到深化,同时使玩易成为融哲学与艺术于一体的精神享受。