Literature DB >> 10493715

The 'new genetics' and primary care: GPs' views on their role and their educational needs.

E K Watson1, D Shickle, N Qureshi, J Emery, J Austoker.   

Abstract

BACKGROUND: Given the limited specialist resources available to cope with the rising demand for genetic services, it has been proposed that at least some of these services are provided by primary care in the future.
OBJECTIVE: We aimed to explore GPs' attitudes towards new developments in genetics, to establish the role they envisage for primary care and to clearly define the education, information and training needed to support them in this role.
METHODS: We carried out a qualitative study with GPs using four focus groups (26 GPs) and 15 individual semi-structured interviews.
RESULTS: GPs perceive genetics as an important and increasingly relevant topic for primary care. Views on the appropriate level of involvement for primary care are mixed. GPs currently lack the relevant knowledge and skills to manage patients concerned about their family history. Other potential barriers to increasing primary care involvement included the time and costs involved, and ethical and legal concerns.
CONCLUSION: If primary care is to become more involved in the delivery of genetic services in the future, then a major educational effort is required to raise awareness of the potential scope and limitations of new developments.

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Year:  1999        PMID: 10493715     DOI: 10.1093/fampra/16.4.420

Source DB:  PubMed          Journal:  Fam Pract        ISSN: 0263-2136            Impact factor:   2.267


  54 in total

Review 1.  The challenge of integrating genetic medicine into primary care.

Authors:  J Emery; S Hayflick
Journal:  BMJ       Date:  2001-04-28

2.  Evaluation of questionnaire on cancer family history in general practice. Principal role of primary care is not to seek out those at increased genetic risk.

Authors:  J Emery
Journal:  BMJ       Date:  2000-01-15

3.  Evaluation of the impact of two educational interventions on GP management of familial breast/ovarian cancer cases: a cluster randomised controlled trial.

Authors:  E Watson; A Clements; P Yudkin; P Rose; C Bukach; J Mackay; A Lucassen; J Austoker
Journal:  Br J Gen Pract       Date:  2001-10       Impact factor: 5.386

4.  Genomic medicine: the sorcerer's new broom? The limitations of the human genome project.

Authors:  I Coulter
Journal:  West J Med       Date:  2001-12

5.  Tensions in implementing the new genetics. General practitioners in south Wales are unconvinced of their role in genetics services.

Authors:  G Elwyn; J Gray; R Iredale
Journal:  BMJ       Date:  2000-07-22

6.  Genetic cancer risk assessment in general practice: systematic review of tools available, clinician attitudes, and patient outcomes.

Authors:  Flore Laforest; Pia Kirkegaard; Baljinder Mann; Adrian Edwards
Journal:  Br J Gen Pract       Date:  2018-12-03       Impact factor: 5.386

Review 7.  Reconsidering the family history in primary care.

Authors:  Eugene C Rich; Wylie Burke; Caryl J Heaton; Susanne Haga; Linda Pinsky; M Priscilla Short; Louise Acheson
Journal:  J Gen Intern Med       Date:  2004-03       Impact factor: 5.128

8.  Family history in primary care: understanding GPs' resistance to clinical genetics--qualitative study.

Authors:  Jonathan Mathers; Sheila Greenfield; Alison Metcalfe; Trevor Cole; Sarah Flanagan; Sue Wilson
Journal:  Br J Gen Pract       Date:  2010-05       Impact factor: 5.386

9.  Primary care physician management, referral, and relations with specialists concerning patients at risk for cancer due to family history.

Authors:  M E Wood; B S Flynn; A Stockdale
Journal:  Public Health Genomics       Date:  2013-01-17       Impact factor: 2.000

10.  Development and validation of a primary care-based family health history and decision support program (MeTree).

Authors:  Lori A Orlando; Adam H Buchanan; Susan E Hahn; Carol A Christianson; Karen P Powell; Celette Sugg Skinner; Blair Chesnut; Colette Blach; Barbara Due; Geoffrey S Ginsburg; Vincent C Henrich
Journal:  N C Med J       Date:  2013 Jul-Aug
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