General practitioner management of genetic aspects of a cardiac disease: a scenario-based study to anticipate providers' practices

Challen, Kirsty, Harris, Hilary, Kristoffersson, Ulf, Nippert, Irmgard, Schmidtke, Joerg, Ten Kate, Leo P., Benjamin, Caroline, Anionwu, Elizabeth, Plass, Anne-Marie, Julian-Reynier, Claire and Harris, Rodney (2010) General practitioner management of genetic aspects of a cardiac disease: a scenario-based study to anticipate providers' practices. Journal of Community Genetics, 1 (2). pp. 83-90. ISSN 1868-310X

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Abstract

It is increasingly recognised that genetics will have to be integrated into all parts of primary health care. Previous research has demonstrated that involvement and confidence in genetics varies amongst primary care providers. We aimed to analyse perceptions of primary care providers regarding responsibility for genetic tasks and factors affecting those perceptions. Postal questionnaire including a hypothetical case management scenario of a cardiac condition with a genetic component was sent to random samples of medically qualified general practitioners in France, Germany, Netherlands, Sweden and UK (n = 1,168). Logistic regression analysis of factors affecting primary care practitioners’ willingness to carry out genetic tasks themselves was conducted; 61% would take a family history themselves but only 38% would explain an inheritance pattern and 16% would order a genetic test. In multivariate analysis, only the country of practice was consistently predictive of willingness to carry out genetic tasks, although male gender predicted willingness to carry out the majority of tasks studied. The stage of career at which education in genetics had been provided was not predictive of willingness to carry out any of the tasks analysed. Country of practice is significantly predictive of attitudes towards genetics in primary care practice and therefore genetic education structure and content in Europe will need to be significantly tailored towards country-specific approaches.

Item Type: Article
Additional Information: © The Author(s) 2010. This article is published with open access at Springerlink.com.
Uncontrolled Keywords: Genetics, Primary care, Education
Subjects: Education
Medicine and health > Nursing
Medicine and health > Primary health
Depositing User: Dominic Walker
Date Deposited: 27 Apr 2017 15:59
Last Modified: 27 Apr 2017 15:59
URI: http://repository.uwl.ac.uk/id/eprint/3281

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