Evidence map›Paper›PMID 15831099›Full record

ArticleBMC family practice2005

Identifying future models for delivering genetic services: a nominal group study in primary care.

Glyn Elwyn, Adrian Edwards, Rachel Iredale, Peter Davies, Jonathon Gray

Open access · goldAbstract read
In one paragraph

Article in BMC family practice, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.9field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Genetics workforce: distribution of genetics services and challenges to health care in California.Genetics in medicine : official journal of the American College of Medical Genetics · 2020
    Article
  3. Article
  4. Primary care providers' experiences with and perceptions of personalized genomic medicine.Canadian family physician Medecin de famille canadien · 2016
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 2 countries.

Glyn ElwynCentre for Health Sciences Research, Cardiff University, 56 Park Place, Cardiff, CF10 3AT, Wales. glyn.elwyn@btinternet.com
Adrian Edwards
Rachel Iredale
Peter Davies
Jonathon Gray
Cardiff University · GBSwansea University · GBUniversity of Wales · GBUniversity of Wales Institute Cardiff · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo enable primary care medical practitioners to generate a range of possible service delivery models for genetic counselling services and critically assess their suitability.

methodsModified nominal group technique using in primary care professional development workshops.

results37 general practitioners in Wales, United Kingdom too part in the nominal group process. The practitioners who attended did not believe current systems were sufficient to meet anticipated demand for genetic services. A wide range of different service models was proposed, although no single option emerged as a clear preference. No argument was put forward for genetic assessment and counselling being central to family practice, neither was there a voice for the view that the family doctor should become skilled at advising patients about predictive genetic testing and be able to counsel patients about the wider implications of genetic testing for patients and their family members, even for areas such as common cancers. Nevertheless, all the preferred models put a high priority on providing the service in the community, and often co-located in primary care, by clinicians who had developed expertise.

conclusionThere is a need for a wider debate about how healthcare systems address individual concerns about genetic concerns and risk, especially given the increasing commercial marketing of genetic tests.

Indexed as

Models, OrganizationalFamily PracticeFemaleForecastingGenetic ServicesGroup ProcessesHealth Services Needs and DemandHumansMalePrimary Health CareSurveys and QuestionnairesUnited Kingdom

Identifiers

PMID15831099
PMCPMC1087483
OpenAlexW2096810014

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.