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

15 Scopus citations


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
Issue number5
StatePublished - Oct 1 2012



  • Community health care system
  • Family history
  • Personalized medicine
  • Primary care providers

ASJC Scopus subject areas

  • Genetics(clinical)

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