Use of a Patient-Entered Family Health History Tool with Decision Support in Primary Care: Impact of Identification of Increased Risk Patients on Genetic Counseling Attendance
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| 024 | 7 | 0 | |a 10.1007/s10897-014-9753-0 |2 doi |
| 035 | |a (NATIONALLICENCE)springer-10.1007/s10897-014-9753-0 | ||
| 245 | 0 | 0 | |a Use of a Patient-Entered Family Health History Tool with Decision Support in Primary Care: Impact of Identification of Increased Risk Patients on Genetic Counseling Attendance |h [Elektronische Daten] |c [Adam Buchanan, Carol Christianson, Tiffany Himmel, Karen Powell, Astrid Agbaje, Geoffrey Ginsburg, Vincent Henrich, Lori Orlando] |
| 520 | 3 | |a Several barriers inhibit collection and use of detailed family health history (FHH) in primary care. MeTree, a computer-based FHH intake and risk assessment tool with clinical decision support, was developed to overcome these barriers. Here, we describe the impact of MeTree on genetic counseling (GC) referrals and attendance. Non-adopted, English speaking adults scheduled for a well-visit in two community-based primary-care clinics were invited to participate in an Implementation-Effectiveness study of MeTree. Participants' demographic characteristics and beliefs were assessed at baseline. Immediately after an appointment with a patient for whom GC was recommended, clinicians indicated whether they referred the patient and, if not, why. The study genetic counselor kept a database of patients with a GC recommendation and contacted those with a referral. Of 542 patients completing MeTree, 156 (29%) received a GC recommendation. Of these, 46% (n = 72) were referred and 21% (n = 33) underwent counseling. Patient preferences, additional clinical information unavailable to MeTree, and an incomplete clinician evaluation of the FHH accounted for the 85 patients clinicians chose not to refer. Although MeTree identified a significant proportion of patients for whom GC was recommended, persistent barriers indicate the need for improved referral processes and patient and physician education about the benefits of GC. | |
| 540 | |a National Society of Genetic Counselors, Inc., 2014 | ||
| 690 | 7 | |a Personalized medicine |2 nationallicence | |
| 690 | 7 | |a Family history |2 nationallicence | |
| 690 | 7 | |a Primary care providers |2 nationallicence | |
| 690 | 7 | |a Referral |2 nationallicence | |
| 690 | 7 | |a Genetic counseling |2 nationallicence | |
| 700 | 1 | |a Buchanan |D Adam |u Duke Cancer Institute, Duke University, DUMC 2715 2424 Erwin Rd., Suite 602, 27705, Durham, NC, USA |4 aut | |
| 700 | 1 | |a Christianson |D Carol |u The Center for Biotechnology, Genomics and Health Research, The University of North Carolina at Greensboro, Greensboro, NC, USA |4 aut | |
| 700 | 1 | |a Himmel |D Tiffany |u Duke Institute for Genome Sciences & Policy, Duke University, Durham, NC, USA |4 aut | |
| 700 | 1 | |a Powell |D Karen |u The Center for Biotechnology, Genomics and Health Research, The University of North Carolina at Greensboro, Greensboro, NC, USA |4 aut | |
| 700 | 1 | |a Agbaje |D Astrid |u Moses Cone Health System, Greensboro, NC, USA |4 aut | |
| 700 | 1 | |a Ginsburg |D Geoffrey |u Duke Institute for Genome Sciences & Policy, Duke University, Durham, NC, USA |4 aut | |
| 700 | 1 | |a Henrich |D Vincent |u The Center for Biotechnology, Genomics and Health Research, The University of North Carolina at Greensboro, Greensboro, NC, USA |4 aut | |
| 700 | 1 | |a Orlando |D Lori |u Department of Medicine, Duke University, Durham, NC, USA |4 aut | |
| 773 | 0 | |t Journal of Genetic Counseling |d Springer US; http://www.springer-ny.com |g 24/1(2015-02-01), 179-188 |x 1059-7700 |q 24:1<179 |1 2015 |2 24 |o 10897 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s10897-014-9753-0 |q text/html |z Onlinezugriff via DOI |
| 898 | |a BK010053 |b XK010053 |c XK010000 | ||
| 900 | 7 | |a Metadata rights reserved |b Springer special CC-BY-NC licence |2 nationallicence | |
| 908 | |D 1 |a research-article |2 jats | ||
| 949 | |B NATIONALLICENCE |F NATIONALLICENCE |b NL-springer | ||
| 950 | |B NATIONALLICENCE |P 856 |E 40 |u https://doi.org/10.1007/s10897-014-9753-0 |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Buchanan |D Adam |u Duke Cancer Institute, Duke University, DUMC 2715 2424 Erwin Rd., Suite 602, 27705, Durham, NC, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Christianson |D Carol |u The Center for Biotechnology, Genomics and Health Research, The University of North Carolina at Greensboro, Greensboro, NC, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Himmel |D Tiffany |u Duke Institute for Genome Sciences & Policy, Duke University, Durham, NC, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Powell |D Karen |u The Center for Biotechnology, Genomics and Health Research, The University of North Carolina at Greensboro, Greensboro, NC, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Agbaje |D Astrid |u Moses Cone Health System, Greensboro, NC, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Ginsburg |D Geoffrey |u Duke Institute for Genome Sciences & Policy, Duke University, Durham, NC, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Henrich |D Vincent |u The Center for Biotechnology, Genomics and Health Research, The University of North Carolina at Greensboro, Greensboro, NC, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Orlando |D Lori |u Department of Medicine, Duke University, Durham, NC, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 773 |E 0- |t Journal of Genetic Counseling |d Springer US; http://www.springer-ny.com |g 24/1(2015-02-01), 179-188 |x 1059-7700 |q 24:1<179 |1 2015 |2 24 |o 10897 | ||