Widening the Lens of Actionability: Primary Care Providers’ Experiences and Needs in Managing Incidental Genomic Results
Year: 2020
Type: dissertation
Abstract: Aim: To explore primary care providers’ (PCPs) experiences and needs in managing incidental genomic results. Methods: Qualitative interpretive descriptive study consisting of semi-structured telephone interviews with PCPs based on incidental genomic results from either a patient in their practice or a hypothetical patient. Results: 15 PCPs in Ontario, Canada were interviewed. PCPs approached management of incidental genomic results through the lens of actionability: their ability to take actions to impact a patient’s current or future health. PCPs had a wider concept of actionability than defined in medical genetics but that aligned with primary care theory. Actionability mitigated the harms of learning incidental genomic results, namely patient anxiety and unnecessary investigations. Conclusions: PCPs considered a wide range of actions to make incidental genomic results relevant for patients. An optimized results report providing resources and a summary of recommended follow-up actions could facilitate integration of incidental genomic results into primary care.
Source: TSpace (University of Toronto)
Author: Agnes Sebastian
Language: English
Topic: Genomics and Rare Diseases
Subfield: Genetics
Domain: Life Sciences
Open Access status: green
OpenAlex ID: W3153258221