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Genet Med. 2015 Mar;17(3):169-76. doi: 10.1038/gim.2014.101. Epub 2014 Sep 11.

Primary-care providers' perceived barriers to integration of genetics services: a systematic review of the literature.

Author information

1
American Academy of Pediatrics, Elk Grove Village, Illinois, USA.
2
Division of General Pediatrics, The Children's Mercy Hospitals and Clinics, Kansas City, Missouri, USA.
3
Child Health Evaluation and Research Unit, Department of Pediatrics, University of Michigan, Ann Arbor, Michigan, USA.

Abstract

PURPOSE:

We aimed to systematically review the literature to identify primary-care providers' perceived barriers against provision of genetics services.

METHODS:

We systematically searched PubMed and ERIC using key and Boolean term combinations for articles published from 2001 to 2012 that met inclusion/exclusion criteria. Specific barriers were identified and aggregated into categories based on topic similarity. These categories were then grouped into themes.

RESULTS:

Of the 4,174 citations identified by the search, 38 publications met inclusion criteria. There were 311 unique barriers that were classified into 38 categories across 4 themes: knowledge and skills; ethical, legal, and social implications; health-care systems; and scientific evidence. Barriers most frequently mentioned by primary-care providers included a lack of knowledge about genetics and genetic risk assessment, concern for patient anxiety, a lack of access to genetics, and a lack of time.

CONCLUSION:

Although studies reported that primary-care providers perceive genetics as being important, barriers to the integration of genetics medicine into routine patient care were identified. The promotion of practical guidelines, point-of-care risk assessment tools, tailored educational tools, and other systems-level strategies will assist primary-care providers in providing genetics services for their patients.

PMID:
25210938
DOI:
10.1038/gim.2014.101
[Indexed for MEDLINE]

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