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Published on: June 21, 2018
Family history-taking in community family practice: implications for genetic screening
L S Acheson1, G L Wiesner, S J Zyzanski
1Department of Family Medicine, Case Western Reserve University and University Hospitals of Cleveland, Ohio 44106-5036, USA.
Purpose:
To identify characteristics of physicians, patients, and visits associated with obtaining family history information in community family practice.
Methods:
Research nurses directly observed 4,454 patient visits to 138 family physicians and reviewed office medical records.
Results:
Family history was discussed during 51% of visits by new patients and 22% of visits by established patients. Physicians' rates of family history-taking varied from 0% to 81% of visits. Family history was more often discussed at well care rather than illness visits. The average duration of family history discussions was <2.5 minutes.
Conclusions:
These data can form the basis for realistic interventions to increase the use of family history in primary care.
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