A new twist on an old problem: primary care physicians and results from direct-to-consumer genetic testing

2013 ◽  
Vol 10 (8) ◽  
pp. 827-833 ◽  
Author(s):  
Gillian Bartlett ◽  
Denise Avard ◽  
Bartha Maria Knoppers
Keyword(s):  
Primary Care ◽  
Genetic Testing ◽  
Primary Care Physicians ◽  
Direct To Consumer

scholarly journals Educational Needs of Primary Care Physicians Regarding Direct-to-Consumer Genetic Testing

2011 ◽  
Vol 21 (3) ◽  
pp. 469-478 ◽  
Author(s):  
Karen P. Powell ◽  
Carol A. Christianson ◽  
Whitney A. Cogswell ◽  
Gaurav Dave ◽  
Amit Verma ◽  
...  
Keyword(s):  
Primary Care ◽  
Genetic Testing ◽  
Primary Care Physicians ◽  
Educational Needs ◽  
Direct To Consumer

scholarly journals Primary Care Physicians’ Awareness, Experience and Opinions of Direct-to-Consumer Genetic Testing

2011 ◽  
Vol 21 (1) ◽  
pp. 113-126 ◽  
Author(s):  
Karen P. Powell ◽  
Whitney A. Cogswell ◽  
Carol A. Christianson ◽  
Gaurav Dave ◽  
Amit Verma ◽  
...  
Keyword(s):  
Primary Care ◽  
Genetic Testing ◽  
Primary Care Physicians ◽  
Direct To Consumer

scholarly journals Primary Care Physicians’ Knowledge, Attitudes, and Experience with Personal Genetic Testing

2019 ◽  
Vol 9 (2) ◽  
pp. 29 ◽  
Author(s):  
Susanne B. Haga ◽  
Esther Kim ◽  
Rachel A. Myers ◽  
Geoffrey S. Ginsburg
Keyword(s):  
Primary Care ◽  
Genetic Testing ◽  
Primary Care Physicians ◽  
Health Knowledge ◽  
Genomic Medicine ◽  
Primary Care Providers ◽  
Test Results ◽  
Care Providers ◽  
Direct To Consumer

Primary care providers (PCPs) will play an important role in precision medicine. However, their lack of training and knowledge about genetics and genomics may limit their ability to advise patients or interpret or utilize test results. We evaluated PCPs’ awareness of the role of genetics/genomics in health, knowledge about key concepts in genomic medicine, perception/attitudes towards direct-to-consumer (DTC) genetic testing, and their level of confidence/comfort in discussing testing with patients prior to and after undergoing DTC testing through the 23andMe Health + Ancestry Service. A total of 130 PCPs completed the study. Sixty-three percent were board-certified in family practice, 32% graduated between 1991 and 2000, and 88% had heard of 23andMe prior to the study. Seventy-two percent decided to participate in the study to gain a better understanding about testing. At baseline, 23% of respondents indicated comfort discussing genetics as a risk factor for common diseases, increasing to 59% after undergoing personal genetic testing (PGT) (p < 0.01). In summary, we find that undergoing PGT augments physicians’ confidence, comfort, and interest in DTC testing.

scholarly journals Who Are You Going to Call? Primary Care Patients’ Disclosure Decisions Regarding Direct–to–Consumer Genetic Testing

2014 ◽  
Vol 4 (1) ◽  
pp. 53-68 ◽  
Author(s):  
Katherine Wasson ◽  
Sara Cherny ◽  
Tonya Nashay Sanders ◽  
Nancy S. Hogan ◽  
Kathy J. Helzlsouer
Keyword(s):  
Primary Care ◽  
Genetic Testing ◽  
Direct To Consumer ◽  
Disclosure Decisions ◽  
Primary Care Patients

scholarly journals Primary care patients’ views and decisions about, experience of and reactions to direct-to-consumer genetic testing: a longitudinal study

2013 ◽  
Vol 4 (4) ◽  
pp. 495-505 ◽  
Author(s):  
Katherine Wasson ◽  
Tonya Nashay Sanders ◽  
Nancy S. Hogan ◽  
Sara Cherny ◽  
Kathy J. Helzlsouer
Keyword(s):  
Primary Care ◽  
Longitudinal Study ◽  
Genetic Testing ◽  
Direct To Consumer ◽  
Primary Care Patients

Physicians' Attitudes toward Disclosure of Genetic Information to Third Parties

1993 ◽  
Vol 21 (2) ◽  
pp. 238-240 ◽  
Author(s):  
Gail Geller ◽  
Ellen S. Tambor ◽  
Barbara A. Bernhardt ◽  
Gary A. Chase ◽  
Karen J. Hofman ◽  
...  
Keyword(s):  
Primary Care ◽  
Genetic Testing ◽  
Genetic Information ◽  
Primary Care Physicians ◽  
Primary Care Providers ◽  
Third Parties ◽  
Care Providers ◽  
Physician Patient Relationship ◽  
Her Family ◽  
Physician Patient

Confidentiality is a cornerstone of the physician-patient relationship. Breaches of confidentiality in the context of genetic testing are of particular concern for a number of reasons. First, genetic testing reveals information not only about a particular patient, but also about his or her family members. Second,genetic testing can label healthy people as “at risk,” subjecting them to possible stigmatization or discrimination by third parties. Third, as genetic testing becomes more widespread and is incorporated into primary care, breaches of confidentiality might inadvertently occur more frequently because primary care providers may not be trained to understand the uniqueness of genetic information. Until now, genetic services have been provided primarily by medical geneticists and genetic counselors. However, with the proliferation of new genetic presymptomatic and carrier tests, primary care physicians are going to become increasingly involved in genetic testing. Currently, little is known about physicians’ attitudes (other than those of medical geneticists) toward disclosure of confidential genetic information to third parties.

scholarly journals The Need for Education and Clinical Best Practice Guidelines in the Era of Direct-to-Consumer Genomic Testing

10.2196/21787 ◽  
2020 ◽  
Vol 6 (2) ◽  
pp. e21787
Author(s):  
Madeleine Myers ◽  
Cinnamon Bloss
Keyword(s):  
Primary Care ◽  
Primary Care Physicians ◽  
Best Practice ◽  
Care Setting ◽  
Genomic Testing ◽  
Personal Genomic ◽  
Direct To Consumer ◽  
Best Practice Guidelines ◽  
New Guidelines ◽  
Clinical Best Practice

Many people share the results of their direct-to-consumer personal genomic testing (DTC-PGT) within the primary care setting, seeking interpretation of and counsel about the results. However, most primary care physicians (PCPs) are not trained to interpret and communicate about DTC-PGT results. New guidelines must be developed to help PCPs maximize the potential of emerging DTC-PGT technologies.

Swiss primary care physicians' knowledge, attitudes and perception towards genetic testing for hereditary breast cancer

2001 ◽  
Vol 2 (3/4) ◽  
pp. 153-158 ◽  
Author(s):  
Gabriella Pichert ◽  
Daniel Dietrich ◽  
Peter Moosmann ◽  
Marcel Zwahlen ◽  
Rolf Arno Stahel ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Primary Care ◽  
Genetic Testing ◽  
Hereditary Breast Cancer ◽  
Primary Care Physicians ◽  
Swiss Primary Care

History Repeating Itself? Concerns about [Genetic] Testing in Primary Care (Preprint)

2018 ◽  
Author(s):  
Cati Brown-Johnson ◽  
Megan Mahoney ◽  
Latha Palaniappan
Keyword(s):  
Primary Care ◽  
Clinical Practice ◽  
Genetic Testing ◽  
20Th Century ◽  
Primary Care Physicians ◽  
Daily Practice ◽  
Early 20Th Century ◽  
Blood Tests ◽  
Cholesterol Measurement

UNSTRUCTURED Primary care physicians report low confidence in their genetic testing knowledge. Practitioners in the early 20th century similarly reported hesitations towards now-routine chemistry-based blood tests, e.g. counts, glucose, and cholesterol measurement. Physicians in 2017 say the same things about genetic testing: it is hard to incorporate into daily practice, not consistently useful, less important than other priorities, and technically difficult. Technologies that are now commonplace in clinical practice were approached overcautiously at inception, similar to genetic testing today.

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