The Use of a Family History Risk Assessment Tool within a Community Health Care System: Views of Primary Care Providers
Primary care providers (PCPs) offered input regarding the incorporation of a family health history (FHH) risk assessment tool into a community health care system (CHCS). Sixteen PCPs participated in one of three focus groups. Perceived impediments included the lack of standard screening guidelines,...
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| Veröffentlicht in: | Journal of genetic counseling 2012-10, Vol.21 (5), p.652-661 |
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| container_end_page | 661 |
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| container_issue | 5 |
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| container_title | Journal of genetic counseling |
| container_volume | 21 |
| creator | Christianson, Carol A. Powell, Karen Potter Hahn, Susan Estabrooks Blanton, Susan H. Bogacik, Jessica Henrich, Vincent C. |
| description | Primary care providers (PCPs) offered input regarding the incorporation of a family health history (FHH) risk assessment tool into a community health care system (CHCS). Sixteen PCPs participated in one of three focus groups. Perceived impediments included the lack of standard screening guidelines, effective screening tests, genetic counseling resources, and services for high-risk patients. The PCPs were concerned about their level of expertise, the cost of preventive health care, and genetic discrimination. They also were concerned about the use of a FHH tool by oncologists within the CHCS because of communication gaps between oncologists and PCPs, lack of clarity regarding follow-up and legal liability, and reimbursement issues. To integrate a FHH tool into a CHCS, PCPs will need consultation and referral services, evidence-based recommendations, and “just-in-time” educational resources. Oncologists who use the tool will need to develop a streamlined communication system with PCPs, establish clearly defined roles, and ensure patient follow-up. |
| doi_str_mv | 10.1007/s10897-011-9479-1 |
| format | Article |
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Sixteen PCPs participated in one of three focus groups. Perceived impediments included the lack of standard screening guidelines, effective screening tests, genetic counseling resources, and services for high-risk patients. The PCPs were concerned about their level of expertise, the cost of preventive health care, and genetic discrimination. They also were concerned about the use of a FHH tool by oncologists within the CHCS because of communication gaps between oncologists and PCPs, lack of clarity regarding follow-up and legal liability, and reimbursement issues. To integrate a FHH tool into a CHCS, PCPs will need consultation and referral services, evidence-based recommendations, and “just-in-time” educational resources. Oncologists who use the tool will need to develop a streamlined communication system with PCPs, establish clearly defined roles, and ensure patient follow-up.</description><identifier>ISSN: 1059-7700</identifier><identifier>EISSN: 1573-3599</identifier><identifier>DOI: 10.1007/s10897-011-9479-1</identifier><identifier>PMID: 22271379</identifier><identifier>CODEN: JGCOET</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Adult ; Biomedical and Life Sciences ; Biomedicine ; Clinical Psychology ; Communication ; Communication systems ; Communications ; Community health care ; Community health care system ; Community Health Services - organization & administration ; Ethics ; Family ; Family history ; Family medical history ; Female ; Focus Groups ; Genetic counseling ; Genetic screening ; Genetic testing ; Genetics ; Guidelines ; Gynecology ; Health care ; Historical account ; Human Genetics ; Humans ; Incorporation ; Liability ; Male ; Medical History Taking ; Middle Aged ; Oncologists ; Original Research ; Perception ; Personalized medicine ; Primary care ; Primary care providers ; Primary health care ; Primary Health Care - manpower ; Public Health ; Risk Assessment ; Risk groups ; Screening</subject><ispartof>Journal of genetic counseling, 2012-10, Vol.21 (5), p.652-661</ispartof><rights>National Society of Genetic Counselors, Inc. 2012</rights><rights>2012 National Society of Genetic Counselors, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5292-50ba5bb15d0ad98e1158f655a8dcf48310c9222b7ae4220559d41e4bbcf430ab3</citedby><cites>FETCH-LOGICAL-c5292-50ba5bb15d0ad98e1158f655a8dcf48310c9222b7ae4220559d41e4bbcf430ab3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10897-011-9479-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10897-011-9479-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,1411,12826,27903,27904,30978,30979,41467,42536,45553,45554,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22271379$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Christianson, Carol A.</creatorcontrib><creatorcontrib>Powell, Karen Potter</creatorcontrib><creatorcontrib>Hahn, Susan Estabrooks</creatorcontrib><creatorcontrib>Blanton, Susan H.</creatorcontrib><creatorcontrib>Bogacik, Jessica</creatorcontrib><creatorcontrib>Henrich, Vincent C.</creatorcontrib><creatorcontrib>Genomedical Connection</creatorcontrib><creatorcontrib>The Genomedical Connection</creatorcontrib><title>The Use of a Family History Risk Assessment Tool within a Community Health Care System: Views of Primary Care Providers</title><title>Journal of genetic counseling</title><addtitle>J Genet Counsel</addtitle><addtitle>J Genet Couns</addtitle><description>Primary care providers (PCPs) offered input regarding the incorporation of a family health history (FHH) risk assessment tool into a community health care system (CHCS). Sixteen PCPs participated in one of three focus groups. Perceived impediments included the lack of standard screening guidelines, effective screening tests, genetic counseling resources, and services for high-risk patients. The PCPs were concerned about their level of expertise, the cost of preventive health care, and genetic discrimination. They also were concerned about the use of a FHH tool by oncologists within the CHCS because of communication gaps between oncologists and PCPs, lack of clarity regarding follow-up and legal liability, and reimbursement issues. To integrate a FHH tool into a CHCS, PCPs will need consultation and referral services, evidence-based recommendations, and “just-in-time” educational resources. Oncologists who use the tool will need to develop a streamlined communication system with PCPs, establish clearly defined roles, and ensure patient follow-up.</description><subject>Adult</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Clinical Psychology</subject><subject>Communication</subject><subject>Communication systems</subject><subject>Communications</subject><subject>Community health care</subject><subject>Community health care system</subject><subject>Community Health Services - organization & administration</subject><subject>Ethics</subject><subject>Family</subject><subject>Family history</subject><subject>Family medical history</subject><subject>Female</subject><subject>Focus Groups</subject><subject>Genetic counseling</subject><subject>Genetic screening</subject><subject>Genetic testing</subject><subject>Genetics</subject><subject>Guidelines</subject><subject>Gynecology</subject><subject>Health care</subject><subject>Historical account</subject><subject>Human Genetics</subject><subject>Humans</subject><subject>Incorporation</subject><subject>Liability</subject><subject>Male</subject><subject>Medical History Taking</subject><subject>Middle Aged</subject><subject>Oncologists</subject><subject>Original Research</subject><subject>Perception</subject><subject>Personalized medicine</subject><subject>Primary care</subject><subject>Primary care providers</subject><subject>Primary health care</subject><subject>Primary Health Care - 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Sixteen PCPs participated in one of three focus groups. Perceived impediments included the lack of standard screening guidelines, effective screening tests, genetic counseling resources, and services for high-risk patients. The PCPs were concerned about their level of expertise, the cost of preventive health care, and genetic discrimination. They also were concerned about the use of a FHH tool by oncologists within the CHCS because of communication gaps between oncologists and PCPs, lack of clarity regarding follow-up and legal liability, and reimbursement issues. To integrate a FHH tool into a CHCS, PCPs will need consultation and referral services, evidence-based recommendations, and “just-in-time” educational resources. 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| fulltext | fulltext |
| identifier | ISSN: 1059-7700 |
| ispartof | Journal of genetic counseling, 2012-10, Vol.21 (5), p.652-661 |
| issn | 1059-7700 1573-3599 |
| language | eng |
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| source | Wiley Online Library - AutoHoldings Journals; MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); SpringerLink Journals - AutoHoldings |
| subjects | Adult Biomedical and Life Sciences Biomedicine Clinical Psychology Communication Communication systems Communications Community health care Community health care system Community Health Services - organization & administration Ethics Family Family history Family medical history Female Focus Groups Genetic counseling Genetic screening Genetic testing Genetics Guidelines Gynecology Health care Historical account Human Genetics Humans Incorporation Liability Male Medical History Taking Middle Aged Oncologists Original Research Perception Personalized medicine Primary care Primary care providers Primary health care Primary Health Care - manpower Public Health Risk Assessment Risk groups Screening |
| title | The Use of a Family History Risk Assessment Tool within a Community Health Care System: Views of Primary Care Providers |
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