Theme | Exemplar Quote | |
---|---|---|
4.1. | State/federal coordination challenges | “The role the federal government plays is to provide the resources for doing the studies that are necessary to develop best practices or other things that might help states have a better understanding or to build their follow-up program, for example…. I think the federal government plays an important role, but I think that unless the whole system changes, it’s a state-driven public health program and they have the opportunity to take what’s out there and meld to what’s the best for rural state or urban state or a whole bunch of different things that might change how they apply some of these things.” (Panel 4, Participant 30) |
4.2. | Expertise-related implementation challenges | “But even adding new positions is a tremendous challenge, trying to find a qualified person to do newborn screening when the current position descriptions are really based on 20 years ago. And so, I think it’s positions, it’s resources—it’s expertise. We’re talking about a whole new—potentially new—paradigms of testing. The newborn screening labs are not very limber in terms of putting new stuff out. They do a great job with what they do, but they’re not very limber in terms of adding new things very rapidly.” (Panel 5, Participant 36) |
4.3. | Public education and awareness challenges | “We call newborn screening this huge public health success, yet so few people know about it. And now that more people do know about it, I mean, we do have those fears of the public that come in [privacy concerns, fears about misuse of dried blood spots]…” (Panel 1, Participant 2) |