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Primary Care Providers' Experiences With an Active Elective Genetic Testing Program.

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  • 1Sanford Health Imagenetics, Sioux Falls, SD, USA.

Health Education & Behavior : the Official Publication of the Society for Public Health Education
|July 31, 2024
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Summary

Primary care providers (PCPs) find elective genetic testing (EGT) useful but face challenges integrating it into practice. Enhanced education and genetic specialist access are needed for successful EGT implementation.

Keywords:
elective genetic testinggenetic educationhealth care provider educationpersonalized medicinepopulation screening

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Area of Science:

  • Genomics and Precision Medicine
  • Primary Care Practice
  • Health Services Research

Background:

  • Elective genetic testing (EGT) programs are expanding, offering pharmacogenomic insights and disease risk screening.
  • Primary care providers (PCPs) are key to EGT implementation, managing test initiation, patient education, and result interpretation.
  • Limited research exists on PCP experiences within health systems offering clinical EGT.

Purpose of the Study:

  • To explore primary care providers' perceptions of the benefits and barriers associated with implementing elective genetic testing in clinical practice.
  • To understand how PCPs conceptualize and integrate EGT within their existing workflows.
  • To identify needs for improved education and support for PCPs managing EGT.

Main Methods:

  • Semi-structured interviews were conducted with 16 PCPs at a Midwest health system with an established EGT program.
  • The study was a sub-component of the larger mixed-methods Imagenetics Initiative.
  • Thematic analysis was used to analyze interview data regarding PCP experiences with EGT.

Main Results:

  • PCPs generally viewed EGT favorably, conceptualizing it similarly to traditional diagnostic services.
  • Despite educational efforts, misconceptions about EGT's goals, results, and limitations persisted among PCPs.
  • Pharmacogenomic profiling was perceived as having more immediate clinical utility than screening for monogenic disease risks.
  • PCPs cited time constraints and patient priorities as barriers, expressing a need for more educational resources and access to genetic specialists.

Conclusions:

  • PCPs recognize the potential utility of EGT but require enhanced educational support and streamlined integration pathways.
  • Addressing misconceptions and providing accessible expertise are crucial for optimizing EGT adoption in primary care.
  • Successful EGT implementation necessitates a focus on practical challenges and opportunities within real-world clinical settings.