PRIMARY-CARE PHYSICIANS AS PROVIDERS OF FRONTLINE GENETIC SERVICES

被引:23
作者
HOLTZMAN, NA
机构
[1] The Johns Hopkins Medical Institutions, Baltimore, MD
关键词
GENETIC TESTING; GENETIC SCREENING; GENETIC SERVICES; PHYSICIANS KNOWLEDGE; PHYSICIANS ATTITUDES;
D O I
10.1159/000263890
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Due in part to shortages of health care professionals with expertise in genetics, primary care physicians will assume a greater role in providing frontline genetic services as genetic tests for more diseases become available. I report some preliminary findings from a national survey of primary care physicians, psychiatrists, medical geneticists and genetic counselors. As expected, no group of nongenetics specialists had as much knowledge as geneticists. Nongeneticist physicians with the greatest exposure to patients with genetic problems had more knowledge than physicians without such exposure. Non-geneticist physicians were more likely to be directive in counseling than geneticists. Problems for future research are enumerated.
引用
收藏
页码:213 / 219
页数:7
相关论文
共 11 条
[1]  
Hampton M.L., Anderson J., Lavizzo B.S., Bergman A.B., Sickle cell ‘non-disease’, Am J Dis Child, 128, pp. 58-61, (1974)
[2]  
McQueen D., Social aspects of genetic screening for Tay-Sachs disease: The pilot community screening program in Baltimore and Washington, Soc Biol, 22, pp. 125-133, (1975)
[3]  
Goldstein M.S., Greenwald S., Nathan T., Massarik F., Kaback M.M., Health behavior and genetic screening for carriers of Tay-Sachs disease: A prospective study, Soc Sci Med, 11, pp. 515-520, (1977)
[4]  
Scriver C.R., Bardanis M., Cartier L., Clow C.L., Lancaster G.A., Ostrowsky J.T., Beta-thalassemia disease prevention: Genetic medicine applied, Am J Hum Genet, 36, pp. 1024-1038, (1984)
[5]  
Lustig L., Clarke S., Cunningham G., Schonberg R., Tompkinson G., California’s experience with low MSAFP results, Am J Med Genet, 31, pp. 211-222, (1988)
[6]  
Annas G.J., Elias S., Maternal serum AFP: Educating physicians and the public, Am J Public Health, 75, pp. 1374-1375, (1985)
[7]  
Clow C.L., Scriver C.R., Knowledge about and attitudes toward genetic screening among high school students: The Tay-Sachs experience, Pediatrics, 59, pp. 86-91, (1977)
[8]  
Holtzman N.A., Genetic screening: For better or for worse?, Pediatrics, 59, pp. 131-133, (1977)
[9]  
Tambor E.S., Chase G.A., Faden R.R., Geller G., Hofman K.J., Holtzman N.A., The effect of improved response rates on a survey of physicians’ knowledge and attitudes regarding genetics, Am J Pub Hlth
[10]  
Hofman K.J., Tambor E.S., Chase G.A., Geller G., Faden R.R., Holtzman N.A., Physicians’ knowledge of genetics and genetic tests