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Related Concept Videos

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The nursing history captures and records the patient's health status, so that a care plan evolves to meet the patient's individual needs. The nursing health history is a part of the initial assessment. A comprehensive history covers all health dimensions and plays a significant role in the assessment process. A comprehensive history includes the patient's biographical information, reasons for seeking health care, expectations, present and past health history, medications, and...
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Primary Healthcare Services01:30

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Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
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Related Experiment Video

Updated: Jan 17, 2026

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An Innovative Strategy for Collecting Family Health History: An Effectiveness-Implementation Trial in Primary Care

June C Carroll1,2, Michelle Greiver1,3, Sahana Kukan2

  • 1Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada.

Annals of Family Medicine
|September 22, 2025
PubMed
Summary

An innovative family history (FH) collection strategy significantly improved FH documentation in electronic health records (EHRs). Patient completion and EHR integration were key success factors for this FH approach.

Keywords:
family health historyfamily practicegeneticsprimary health care

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Area of Science:

  • Family Medicine
  • Health Informatics
  • Clinical Implementation Science

Background:

  • Family history (FH) is crucial for assessing disease risk.
  • Current methods for collecting FH are often inefficient and poorly documented in electronic health records (EHRs).
  • Innovative strategies are needed to improve FH collection and integration into routine clinical practice.

Purpose of the Study:

  • To evaluate an innovative strategy for collecting family history (FH).
  • To explore patient perspectives on the novel FH collection strategy.
  • To assess the impact of the intervention on FH documentation within EHRs.

Main Methods:

  • A matched-pair effectiveness-implementation trial was conducted in family practices.
  • The intervention involved patient education, e-mailed FH questionnaires, automatic EHR upload, and FP notifications.
  • A control group received usual care; outcomes were compared using mixed-effects logistic regression.

Main Results:

  • The intervention group showed a significant increase in new FH documentation (16.1% vs. 0.2%, OR=94.2).
  • New cancer FH documentation was substantially higher in the intervention group (7.8% vs. 0.1%, P < .01).
  • Most patients (60.5%) found the FH strategy helpful, with some receiving recommendations for screening and specialist referrals.

Conclusions:

  • The innovative FH strategy significantly improved FH collection and documentation.
  • Patient completion and seamless EHR integration with reminders were critical success factors.
  • The FH strategy requires adaptation for different clinical contexts to maximize its effectiveness.