Barriers to and Motivations for Physician Referral of Patients to Cancer Genetics Clinics
Barriers to and Motivations for Physician Referral of Patients to Cancer Genetics Clinics
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DOI：
10.1007/s10897-011-9401-x
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发表时间：
2012-04-01
影响因子：
1.9
通讯作者：
Knapke, Sara C.
中科院分区：
文献类型：
--
作者：
Prochniak, Carrie F.;Martin, Lisa J.;Knapke, Sara C.
尽管众所周知，结肠癌患者转诊到癌症遗传学诊所的不足是一个长期问题，但尚未有研究探讨为什么医生可能会独立下令进行检测，而不是将患者转诊到癌症遗传学诊所。目前的研究探讨了可能影响医生独立安排检测或将患者转诊给外部癌症遗传学专家的偏好的变量。一份在线调查问卷分发给美国胃肠病学会和美国结直肠外科医生协会的会员，得到了 298 名医生的回复。转诊癌症遗传学诊所而不是要求独立检测的动机包括担心遗传歧视，以及相信患者可以从有关检测的风险、益处和后果的遗传咨询中受益。这些结果表明，为了增加转诊，遗传咨询师必须让医生了解患者从参与遗传咨询中获得的独特好处。
Although it is well known that under-referral of colon cancer patients to cancer genetics clinics is a chronic problem, no study has yet examined why physicians may be ordering testing independently rather than referring patients to cancer genetics clinics. The current study explored variables which may impact a physician's preference for ordering testing independently or referring patients to outside cancer genetics experts. An online questionnaire, distributed to the membership of the American College of Gastroenterology and the American Society of Colorectal Surgeons, yielded responses from 298 physicians. Motivations to refer to cancer genetics clinics rather than order testing independently included fear of genetic discrimination and a belief that patients benefit from genetic counseling about the risks, benefits and consequences of testing. These results suggest that in order to increase referrals, genetic counselors must educate physicians about the unique benefits patients receive from participating in genetic counseling.