Physicians’ strategies for using family history data: having the data is not the same as using the data | Zendy

Peter Taber | Zendy; Parveen Ghani | Zendy; Joshua D. Schiffman | Zendy; Wendy Kohlmann | Zendy; Rachel Hess | Zendy; Valli Chidambaram | Zendy; Kensaku Kawamoto | Zendy; Rosalie Waller | Zendy; Damián Borbolla | Zendy; Guilherme Del Fiol | Zendy; Charlene Weir | Zendy

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Physicians’ strategies for using family history data: having the data is not the same as using the data

Author(s) -

Peter Taber,

Parveen Ghani,

Joshua D. Schiffman,

Wendy Kohlmann,

Rachel Hess,

Valli Chidambaram,

Kensaku Kawamoto,

Rosalie Waller,

Damián Borbolla,

Guilherme Del Fiol,

Charlene Weir

Publication year - 2020

Publication title -

jamia open

Language(s) - English

Resource type - Journals

ISSN - 2574-2531

DOI - 10.1093/jamiaopen/ooaa035

Subject(s) - specialty , workflow , documentation , data collection , medicine , clinical decision support system , nursing , medical education , psychology , family medicine , decision support system , computer science , data mining , statistics , mathematics , database , programming language

Objective To identify needs in a clinical decision support tool development by exploring how primary care providers currently collect and use family health history (FHH). Design Survey questionnaires and semi-structured interviews were administered to a mix of primary and specialty care clinicians within the University of Utah Health system (40 surveys, 12 interviews). Results Three key themes emerged regarding providers’ collection and use of FHH: (1) Strategies for collecting FHH vary by level of effort; (2) Documentation practices extend beyond the electronic health record’s dedicated FHH module; and (3) Providers desire feedback from genetic services consultation and are uncertain how to refer patients to genetic services. Conclusion Study findings highlight the varying degrees of engagement that providers have with collecting FHH. Improving the integration of FHH into workflow, and providing decision support, as well as links and tools to help providers better utilize genetic counseling may improve patient care.

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