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Genetic testing and employer‐sponsored wellness programs: An overview of current vendors, products, and practices

机译:基因检测和雇主赞助的健康计划:目前的供应商,产品和实践概述

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Background Employer‐sponsored corporate wellness programs have spread despite limited evidence of effectiveness in improving health or reducing costs. Some programs have offered genetic testing as a benefit to employees, but little is known about this practice. Methods In December 2019, we conducted a systematic Google search to identify vendors offering corporate wellness programs involving genetics. We performed qualitative content analysis of publicly available information about the vendors’ products and practices disclosed on their websites. Results Fifteen vendors were identified. Details regarding genetic testing offered within wellness programs were difficult to decipher from vendors’ websites, including which specific products were included. No evidence was provided to support vendor claimed improvements in employer costs, employee health, and job performance. Only half offered health and genetic counseling services. Most vendors were ambiguous regarding data sharing. Disclaimer language was included in vendors’ stated risks and limitations, ostensibly to avoid oversight and liability. Conclusion We found a lack of transparency among corporate wellness program vendors, underscoring challenges that stakeholders encounter when trying to assess (a) how such programs are using genetics, (b) the potential benefits of such applications, and (c) the adequacy of protections to ensure scientific evidence support any health claims and genetic nondiscrimination.
机译:背景技术雇主赞助的企业健康计划在提高健康或降低成本的有效性有限的证据表现下,差异。一些程序向员工提供了遗传测试,但对这种做法知之甚少。方法在2019年12月,我们进行了系统的谷歌搜索,以识别提供涉及遗传学的企业健康计划的供应商。我们对其网站上披露的供应商产品和实践进行了定性内容分析。结果已确定十五个供应商。关于在健康计划中提供的基因检测的细节难以从供应商的网站附近,包括包括哪种特定产品。没有提供证据,以支持卖方声称的雇主费用,员工健康和工作表现的改进。只有一半提供的健康和遗传咨询服务。大多数供应商对数据共享含糊不清。免责声明语言被列入供应商的风险和局限性,表面上避免了疏忽和责任。结论我们发现企业健康计划供应商缺乏透明度,强调利益攸关方在试图评估时遇到的挑战(a)这些计划如何使用遗传学,(b)这些申请的潜在利益,以及(c)保护的充分性确保科学证据支持任何健康索赔和遗传无掩项。

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