Abstract
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.
| Original language | English |
|---|---|
| Pages (from-to) | 652-661 |
| Number of pages | 10 |
| Journal | Journal of Genetic Counseling |
| Volume | 21 |
| Issue number | 5 |
| DOIs | |
| State | Published - Oct 1 2012 |
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Keywords
- Community health care system
- Family history
- Personalized medicine
- Primary care providers
ASJC Scopus subject areas
- Genetics(clinical)
Cite this
The use of a family history risk assessment tool within a community health care system : Views of primary care providers. / Christianson, Carol A.; Powell, Karen Potter; Hahn, Susan Estabrooks; Blanton, Susan H; Bogacik, Jessica; Henrich, Vincent C.
In: Journal of Genetic Counseling, Vol. 21, No. 5, 01.10.2012, p. 652-661.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The use of a family history risk assessment tool within a community health care system
T2 - Views of primary care providers
AU - Christianson, Carol A.
AU - Powell, Karen Potter
AU - Hahn, Susan Estabrooks
AU - Blanton, Susan H
AU - Bogacik, Jessica
AU - Henrich, Vincent C.
PY - 2012/10/1
Y1 - 2012/10/1
N2 - 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.
AB - 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.
KW - Community health care system
KW - Family history
KW - Personalized medicine
KW - Primary care providers
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U2 - 10.1007/s10897-011-9479-1
DO - 10.1007/s10897-011-9479-1
M3 - Article
VL - 21
SP - 652
EP - 661
JO - Journal of Genetic Counseling
JF - Journal of Genetic Counseling
SN - 1059-7700
IS - 5
ER -