Familial disclosure by genetic healthcare professionals: a useful but sparingly used legal provision in France

J Med Ethics. 2019 Dec;45(12):811-816. doi: 10.1136/medethics-2018-105212. Epub 2019 Aug 28.

Abstract

Familial disclosure of genetic information is an important, long-standing ethical issue that still gives rise to much debate. In France, recent legislation has created an innovative and unprecedented procedure that allows healthcare professionals (HCPs), under certain conditions, to disclose relevant information to relatives of a person carrying a deleterious genetic mutation. This article will analyse how HCPs in two medical genetics clinics have reacted to these new legal provisions and show how their reticence to inform the patients' relatives on their behalf leads them to use this option sparingly.

Keywords: bioethics; breast cancer; family communication; genetics; hemochromatosis; law.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Confidentiality / ethics
  • Disclosure / ethics*
  • Disclosure / legislation & jurisprudence
  • Family
  • France
  • Genetic Predisposition to Disease* / psychology
  • Genetic Testing / ethics*
  • Genetic Testing / legislation & jurisprudence
  • Humans