ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2010
Family history in primary care: understanding GPs' resistance to clinical genetics--qualitative study.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 4 of them syntheses that pooled it.
What it found
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Who cites it
30 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Considering family trees as a useful tool in family medicine: a systematic review.Primary health care research & development · 2025Pooled it
- General practitioners' (GPs) experience, attitudes and needs on clinical genetic services: a systematic review.Family medicine and community health · 2022Pooled it
- Genetic cancer risk assessment in general practice: systematic review of tools available, clinician attitudes, and patient outcomes.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019Pooled it
- Primary-care providers' perceived barriers to integration of genetics services: a systematic review of the literature.Genetics in medicine : official journal of the American College of Medical Genetics · 2015Pooled it
- A primary care specialist genetics service: a cluster-randomised factorial trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2012Trial
- Offering antenatal sickle cell and thalassaemia screening to pregnant women in primary care: a qualitative study of GPs' experiences.The British journal of general practice : the journal of the Royal College of General Practitioners · 2010Trial
- Knowledge, attitudes and practices of cancer genetics in family medicine in Japan: a mixed methods study.BMC primary care · 2026Article
- Ethically Integrating Genomics in Primary Care: An Invitation to Share Implementation Best Practices.Mayo Clinic proceedings · 2026Article
- Article
- Knowledge, Attitude, and Practice About the Process of Genetic Counselling Among Clinicians.Cureus · 2023Article
- Family history recording in UK general practice: the lIFeLONG study.Family practice · 2022Article
- Introducing genetic testing with case finding for familial hypercholesterolaemia in primary care: qualitative study of patient and health professional experience.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022Article
- The practice of genomic medicine: A delineation of the process and its governing principles.Frontiers in medicine · 2022Article
- How is family health history discussed in routine primary healthcare? A qualitative study of archived family doctor consultations.BMJ open · 2021Article
- Pharmacogenomic testing to support prescribing in primary care: a structured review of implementation models.Pharmacogenomics · 2021Review
- How practice setting affects family physicians' views on genetic screening: a qualitative study.BMC family practice · 2021Article
- Is family history still underutilised? Exploring the views and experiences of primary care doctors in Malaysia.Journal of community genetics · 2020Article
- How genomic information is accessed in clinical practice: an electronic survey of UK general practitioners.Journal of community genetics · 2020Article
- Bridging the gap in genetics: a progressive model for primary to specialist care.BMC medical education · 2019Article
- GP attitudes to and expectations for providing personal genomic risk information to the public: a qualitative study.BJGP open · 2019Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundNational and local evaluations of clinical genetics service pilots have experienced difficulty in engaging with GPs.
aimTo understand GPs' reluctance to engage with clinical genetics service developments, via an examination of the role of family history in general practice. DESIGN OF STUDY: Qualitative study using semi-structured one-to-one interviews.
settingThe West Midlands, UK.
methodInterviews with 21 GPs working in 15 practices, based on a stratified random sample from the Midlands Research Practices Consortium database. Thematic analysis proceeded alongside data generation. Framework grids were constructed for comparative analytical questioning. Interpretation was framed by two explanatory models: a knowledge deficit model, and practice and professional identity model.
resultsThere is a clear distinction between the routine use and function of family history in GPs' clinical decision making, and contrasting conceptualisations of genetics and 'genetic conditions'. Although genetics is clearly a part of current GP practice, with acknowledgement of genetic components to multifactorial disease, this is distinguished from 'genetic conditions' which are seen as rare, complex single-gene disorders. Importantly, family history takes its place within a broader notion of the 'family doctor' that interviewees identified as a key aspect of their role. In contrast, clinical genetics was not identified as a core component of generalist practice.
conclusionThe likely effectiveness of educational policy interventions aimed at GPs that focus solely on knowledge deficit models, is questionable. There is a need to acknowledge how appropriate practice is constructed by GPs, within the context of accepted generalist roles and related identities.
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