Dataset Information

Incorporating direct-to-consumer genomic information into patient care: attitudes and experiences of primary care physicians.

ABSTRACT: AIM:Despite predictions of increased clinical applications, little is known about primary care providers' (PCPs') readiness to apply genomics to patient care. The aim was to assess PCPs' current experience with genetic testing, their assessment of the understandability and clinical utility of information in sample direct-to-consumer reports for genomic assessment of disease risk and warfarin dosing and attitudes toward genomic medicine. MATERIALS & METHODS:A web-based survey of PCPs who are members of Knowledge Networks' Physician Consulting Network was conducted. RESULTS:Of the 502 respondents (23.3% response rate), most ordered genetic tests infrequently. When presented with the direct-to-consumer genomic testing reports, most believed the reports were understandable, and would be willing to review results with a patient, and many believed the results would be helpful in patient management. CONCLUSION:Despite limited experience with genetic tests, PCPs are open to helping patients understand genomic information. However, additional physician education is needed.

SUBMITTER: Bernhardt BA

PROVIDER: S-EPMC3684987 | biostudies-literature | 2012 Sep

REPOSITORIES: biostudies-literature

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Incorporating direct-to-consumer genomic information into patient care: attitudes and experiences of primary care physicians.

Bernhardt Barbara A BA Zayac Cara C Gordon Erynn S ES Wawak Lisa L Pyeritz Reed E RE Gollust Sarah E SE

Personalized medicine 20120901 7

<h4>Aim</h4>Despite predictions of increased clinical applications, little is known about primary care providers' (PCPs') readiness to apply genomics to patient care. The aim was to assess PCPs' current experience with genetic testing, their assessment of the understandability and clinical utility of information in sample direct-to-consumer reports for genomic assessment of disease risk and warfarin dosing and attitudes toward genomic medicine.<h4>Materials & methods</h4>A web-based survey of PC ...[more]

PMID: 23795206

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Project description:ObjectivesPatient-centred care has been raised as an important component in providing high-quality healthcare services. This research aims to measure physicians' attitudes towards patient-centred care in Chinese healthcare settings and to identify the sociodemographic predictors of their attitudes using an exploratory research design.DesignA cross-sectional survey.SettingTwelve hospitals in Beijing, China.Participants1290 physicians from 12 hospitals in Beijing were invited to take part in the survey using snowball sampling methods. There was a response rate of 84% (n=1084), of which 1053 responses (82%) were valid and included in this research.MethodsThis research used a survey containing a previously validated 6-point Likert scale called 'Chinese-revised Patient-Practitioner Orientation Scale' (CR-PPOS). Descriptive statistics and multivariable logistic regression analyses were performed to measure participants' attitudes and to identify the sociodemographic predictors of Chinese physicians' attitudes towards patient-centred care.ResultsGender, professional title (ie, seniority) and hospital type influence Chinese physicians' attitudes towards patient-centred care. Female physicians, physicians with intermediate titles and those who work in tertiary (ie, top-level) hospitals tend to have higher patient-centred attitudes (OR=1.532, 95% CI 1.160 to 2.022; OR=2.089, 95% CI 1.206 to 3.618; OR=2.198, 95% CI 1.465 to 3.297) than male physicians with other titles, and than those who work in first, secondary or private hospitals. Physicians working in non-surgical departments, those who have received training in doctor-patient communication, and those who are satisfied with their income obtained high patient-centred scores, both on the overall CR-PPOS and its two subscales.ConclusionsThis research identified sociodemographic predictors of Chinese physicians' attitudes towards patient-centred care. The findings contribute to knowledge of factors to be considered in reforming medical education and the Chinese healthcare system to improve physician-patient relationships and provide high-quality healthcare to patients. However, these findings are exploratory in nature and require further investigation to establish their validity and generalisability.

Dataset Information

Incorporating direct-to-consumer genomic information into patient care: attitudes and experiences of primary care physicians.

Publications

Incorporating direct-to-consumer genomic information into patient care: attitudes and experiences of primary care physicians.

Similar Datasets

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