Deficiency of knowledge of genetics and genetic tests among general practitioners, gynecologists, and pediatricians: A global problem
Deficiency of knowledge of genetics and genetic tests among general practitioners, gynecologists, and pediatricians: A global problem
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DOI：
10.1097/01.gim.0000182895.28432.c7
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发表时间：
2005-11-01
影响因子：
8.8
通讯作者：
ten Kate, LP
中科院分区：
文献类型：
--
作者：
Baars, MJH;Henneman, L;ten Kate, LP
目的：本研究的目的是评估荷兰全科医生（GP）、妇科医生（GYN）和儿科医生（PED）的遗传学知识和基因检测意识，以及影响他们知识和意识的因素。方法：使用匿名问卷调查，并通过52名临床遗传学家（CG）的样本进行验证。该研究在荷兰的初级保健（全科医学）和二级保健（综合医院和大学医院）进行。随机抽取200名全科医生、300名妇科医生和265名儿科医生进行问卷调查。此外，所有登记的协商小组（58个）都收到了一份调查问卷，以供核实。总共有122名全科医生、187名妇科医生、164名儿科医生和52名CG返回了完整的问卷。主要的结果指标是在不同学科工作的医生之间的知识得分的差异和影响这些分数的因素。全科医生知识得分（平均64%正确答案，61%-66% [95%置信区间]），妇科（平均75%正确答案，73%-76% [95%置信区间]）和PED（平均81%正确答案，79%-82% [95%置信区间]）低于CG验证组（平均95%正确答案，94%-96% [95%置信区间]）。全科医生、妇科医生和儿科医生的第5百分位数分别约为40%、52%和62%的正确答案。对DNA测试缺乏具体的了解。除了专业，重要的因素与nongeneticists的知识得分呈正相关，最近毕业，采取了选修课程在遗传学，并提供遗传咨询在自己的practice.Conclusion：遗传学的整体知识水平在许多nongeneticist医疗保健提供者表现出明显的不足。这与其他国家的报告一致，表明这些缺陷是一个全球性问题。
Purpose: The objective of this study was to assess knowledge of genetics and awareness of genetic tests among Dutch general practitioners (GPs), gynecologists (GYNs), and pediatricians (PEDs), as well as factors influencing their knowledge and awareness.Methods: An anonymous questionnaire inquiry was used, validated with a sample of 52 clinical geneticists (CGs). The study was carried out in primary care (general practice) and secondary care (general and university hospitals) in The Netherlands. A random sample of 200 GPs, 300 GYNs, and 265 PEDs received a questionnaire. In addition, all registered CGs (58) received a questionnaire for validation. In total, 122 GPs, 187 GYNs, 164 PEDs, and 52 CGs returned a completed questionnaire. The main outcome measures were differences in knowledge scores between physicians working in different disciplines and factors influencing these scores.Results: Knowledge scores of GPs (mean 64% correct answers, 61%-66% [95% confidence interval]), GYNs (mean 75% correct answers, 73%-76% [95% confidence interval]), and PEDs (mean 81% correct answers, 79%-82% [95% confidence interval]) were lower than those in the CG validation group (mean 95% correct answers, 94%-96% [95% confidence interval]). The 5th percentile of GPs, GYNs, and PEDs was at approximately 40%, 52% and 62% correct answers, respectively. There was a specific lack of knowledge about DNA testing. In addition to specialty, important factors positively associated with the knowledge scores of nongeneticists are more recent graduation, having taken an elective course in genetics, and providing genetic counseling in their own practice.Conclusion: The overall knowledge levels of genetics in many nongeneticist health care providers show clear deficiencies. This is in line with reports from other countries, showing that these deficiencies are a global problem.