The use of a family history risk assessment tool within a community health care system: Views of primary care providers

Carol A. Christianson, Karen Potter Powell, Susan Estabrooks Hahn, Susan H Blanton, Jessica Bogacik, Vincent C. Henrich

Research output: Contribution to journalArticle

13 Citations (Scopus)

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 languageEnglish
Pages (from-to)652-661
Number of pages10
JournalJournal of Genetic Counseling
Volume21
Issue number5
DOIs
StatePublished - Oct 1 2012

Fingerprint

Community Health Planning
Community Health Services
Primary Health Care
Medical History Taking
Delivery of Health Care
Preventive Health Services
Communication
Genetic Services
Legal Liability
Genetic Counseling
Focus Groups
Referral and Consultation
Guidelines
Costs and Cost Analysis

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 journalArticle

Christianson, Carol A. ; Powell, Karen Potter ; Hahn, Susan Estabrooks ; Blanton, Susan H ; Bogacik, Jessica ; Henrich, Vincent C. / The use of a family history risk assessment tool within a community health care system : Views of primary care providers. In: Journal of Genetic Counseling. 2012 ; Vol. 21, No. 5. pp. 652-661.
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