caa a22 4500 386356440 CHVBK 20180307111855.0 cr unu---uuuuu 161130e198910 xx s 000 0 eng 10.1017/S0266462300008473 doi S0266462300008473 pii (NATIONALLICENCE)cambridge-10.1017/S0266462300008473 Genetic Diagnosis: Implications for Medical Practice [Elektronische Daten] Genetic diagnostic techniques increasingly permit the detection of predisposition to illness long before the onset of the disease process itself. Medicine is on the verge of becoming a predictive science as well as a diagnostic and therapeutic one. Genetic diagnosis could have profound effects on many aspects of our health care system, including the prestige and effectiveness of preventive medicine, the competitive behavior of health care organizations and insurance companies, access to private health insurance, the ability of primary care physicians to serve as gatekeepers, and other matters. This article examines the range of potential effects of the new genetic diagnostics on the organization and financing of health care. For purposes of illustration the authors examine in detail the possible consequences of genetic tests for predisposition to two diseases: Reye's Syndrome and lung cancer in smokers. Copyright © Cambridge University Press 1989 Blumenthal David Brigham and Womens's Hospital and Harvard Medical School Zeckhauser Richard Harvard University International Journal of Technology Assessment in Health Care Cambridge University Press 5/4(1989-10), 579-600 0266-4623 5:4<579 1989 5 THC https://doi.org/10.1017/S0266462300008473 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1017/S0266462300008473 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Blumenthal David Brigham and Womens's Hospital and Harvard Medical School NATIONALLICENCE 700 1- Zeckhauser Richard Harvard University NATIONALLICENCE 773 0- International Journal of Technology Assessment in Health Care Cambridge University Press 5/4(1989-10), 579-600 0266-4623 5:4<579 1989 5 THC CC0 http://creativecommons.org/publicdomain/zero/1.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-cambridge