Should a Genomic Diagnosis be a Ticket or a Roadmap? Threats to Equity in the Pursuit of Developmental Services in Early Childhood.
A genomic diagnosis for a young child could guide access to developmental care, school services, and social supports; yet these contexts remain understudied. Here we describe (at least) two ways a genomic diagnosis could promote such utility: as a ticket, where the diagnosis qualifies a child for se...
| Publicado en: | American Journal of Bioethics Vol. 25; no. 12; pp. 32 - 41 |
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| Autores principales: | , , , , , , , , |
| Formato: | Journal Article |
| Publicado: |
Taylor & Francis Ltd
Dec2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=189411492&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 189411492 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15265161 FKZ jtl: American Journal of Bioethics issn: 15265161 maglogo: N pubinfo: dt: Dec2025 vid: 25 iid: 12 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 189411492 187992066 10.1080/15265161.2025.2554773 189411492 ppf: 32 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Should a Genomic Diagnosis be a Ticket or a Roadmap? Threats to Equity in the Pursuit of Developmental Services in Early Childhood. aug: au: MacDuffie, Katherine E. Ackerman, Sara L. Cadigan, R. Jean Goldenberg, Aaron J. Lemke, Amy A. McNamera, Katelyn C. Reynolds, Elizabeth Yu, Joon-Ho Brothers, Kyle B. affil: Seattle Children's Research Institute sug: subj: Genomics Genetic Screening Child Development Child Health Services Health Services Accessibility Support, Social Healthcare Disparities Early Childhood Intervention Transitional Programs Education, Special ab: A genomic diagnosis for a young child could guide access to developmental care, school services, and social supports; yet these contexts remain understudied. Here we describe (at least) two ways a genomic diagnosis could promote such utility: as a ticket, where the diagnosis qualifies a child for services they weren't previously able to access, or as a roadmap, where the diagnosis guides which services might be helpful. We explore the implications of a diagnosis that functions as either a ticket or a roadmap, including how either might create additional disparities in the US developmental services system. We argue that fewer inequities would exist in a world where a genomic diagnosis functions more as a roadmap than a ticket. We recommend policy changes (increase early intervention funding, improve family navigation, and incentivize developmental services research) that can avoid the inequities associated with the "ticket" and move us towards a "roadmap" future. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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