The genetic services provision can be significantly different depending upon setting perspectives. Testing genetically can be offered within dedicated genetics of clinics medically, office of primary care or a particular practice specification. These services are characterized in following:
Genetics which are general: Housed usually in vast institutions of medical academic services
Genetics of specialty: Housed typically in the vast medical institutions
Services of Outreach: Offered typically through large institutions of medical or through health department extended for services in rural or under serviced regions
Providers of non-genetics delivering testing: Providers of oncology, neurological assessment etc ordering testing of genetics disregard the genetic specialist involvement
Tele-genesis: Variations over clinic outreach using technologies of tele-communications
Clinics of Interdisciplinary nature: Models of integrated nature providing enhanced care which is cost effective, accessible and comprehensiveness
Open Panel Managed care Plans: The most challenging issue with regard to controlling the quality of system of health care lies in evaluation and improvisation of services of quality provided by physician. The issue is present because standards to object in a detailed manner are not present with a non physician partyIf no control right is exercised by HMO on a physicians choice or performing ability, still HMO is not obligated for physician. Therefore, there exists an authority which is lacking with respect to selecting and supervising as it leads towards determining the duty extent for ensuring the competence of a physician. An example here can be that if an HMO having open panel decides to reimburse only the physicians who have followed a protocol in detail when patients were treated then HMO would have been obligated for ensuring that the process has the ability to meet the requirements of a patient medically.