Primary-care physicians' access to genetic specialists: an impediment to the routine use of genomic medicine?
Primary-care physicians' access to genetic specialists: an impediment to the routine use of genomic medicine?
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DOI：
10.1038/gim.2012.168
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发表时间：
2013-07
期刊：
影响因子：
--
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中科院分区：
文献类型：
--
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基因组医学领域正在超越医学专业领域，进入普通保健领域。因此，初级保健从业者（pcp）将面临有关解释，使用和应用基因和基因组测试的问题。有几项研究表明，pcp的知识是可变的，但很少有研究评估pcp获得遗传专家的机会以及这可能如何影响检测的使用。作为PCP药物遗传学测试调查的一部分，我们评估了PCP获得遗传专家及其与转诊和测试订购的关系。我们对美国全国PCP样本进行了一项在线/邮件调查，调查数据表明PCP获得遗传专家的机会有限，特别是那些在学术医疗中心以外执业的PCP，这对测试订购实践产生了负面影响。鉴于临床遗传专家的数量较少，需要合作的方法来开发教育和临床资源，以准备和指导未来和当前的全科医生分别安全、适当地使用检测。
The field of genomic medicine is moving beyond the domain of medical specialties into general care. As a result, primary care practitioners (PCPs) will be faced with questions regarding the interpretation, use, and application of genetic and genomic testing. Several studies have demonstrated the variable knowledge of PCPs, but few have assessed PCPs access to genetic specialists and how that may influence test use. As part of a survey of PCPs on pharmacogenetic testing, we assessed PCP access to genetic specialists and its association with referrals and test ordering. We conducted an online/mail survey of a national sample of PCPs in the U.S. Survey data indicate that PCP access to genetic specialists is limited, particularly to those practicing outside of academic medical centers, negatively impacting test ordering practices. Given the small number of clinical genetic specialists, collaborative approaches are needed to develop educational and clinical resources to prepare and guide the safe and appropriate use of testing by future and current general practitioners, respectively.
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影响因子：
3.8
作者：
Graves, Kristi D.;Wenzel, Lari;Halbert, Chanita Hughes
通讯作者：
Halbert, Chanita Hughes
影响因子：
1.9
作者：
Prochniak, Carrie F.;Martin, Lisa J.;Knapke, Sara C.
通讯作者：
Knapke, Sara C.
影响因子：
3.5
作者：
Haga SB;O'Daniel JM;Tindall GM;Mills R;Lipkus IM;Agans R
通讯作者：
Agans R
DOI：
10.1159/000065165
发表时间：
2002-01-01
期刊：
Community genetics
影响因子：
--
作者：
Burke, Wylie;Acheson, Louise;Wilson, Modena
通讯作者：
Wilson, Modena