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General practitioners' views on genetic screening for common diseases.

M A Suchard1, P Yudkin, J S Sinsheimer

  • 1Howard Hughes Medical Institute, USA. msuchard@ucla.edu

The British Journal of General Practice : the Journal of the Royal College of General Practitioners
|January 6, 2000
PubMed
Summary

Most general practitioners recognize the need for genetic services, but many lack confidence in their abilities. Despite this, a significant majority refer patients to genetics units and provide genetic counseling.

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Area of Science:

  • Medical Genetics
  • Primary Care Medicine
  • Health Services Research

Background:

  • General practitioners (GPs) play a crucial role in patient care and may encounter genetic conditions.
  • The increasing availability of genetic testing and services necessitates understanding GP's role and readiness.
  • There is a need to assess the current capacity and willingness of primary care physicians to integrate genetic services.

Purpose of the Study:

  • To evaluate general practitioners' (GPs) attitudes towards providing genetic services.
  • To assess GPs' perceived competence in genetic counseling and service delivery.
  • To determine the extent of current GP involvement in referring patients to genetics units and providing genetic counseling.

Main Methods:

  • A questionnaire survey was distributed to 359 general practitioners.

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  • A high response rate of 94% was achieved, ensuring robust data.
  • Data collected included acceptance of genetic services, perceived competence, referral rates, and counseling activities.

    • Main Results:

    • A majority of GPs (60%) acknowledged the necessity of offering genetic services.
    • Fewer GPs felt adequately competent to provide these specialized services.
    • A substantial proportion of GPs (76%) had referred patients to a genetics unit in the prior year, and 50% had provided genetic counseling.

    Conclusions:

    • General practitioners recognize the importance of genetic services but report a gap in perceived competence.
    • Despite confidence limitations, GPs are actively involved in referring patients and providing basic genetic counseling.
    • Further training and support are likely needed to enhance GP's confidence and capacity in genetic medicine.