基层医疗中的预测性遗传学：基因检测对动机的影响期望会影响家庭医生对家族性癌症风险筛查的重视程度。
Predictive genetics in primary care: expectations for the motivational impact of genetic testing affects the importance family physicians place on screening for familial cancer risk.
作者信息
Gramling Robert, Nash Justin, Siren Karen, Culpepper Larry
机构信息
Brown Medical School Department of Family Medicine and Brown Centers for Behavioral and Preventive Medicine, Providence, Rhode Island 02860, USA.
出版信息
Genet Med. 2003 May-Jun;5(3):172-5. doi: 10.1097/01.GIM.0000068986.03217.BB.
PURPOSE
To investigate whether the importance family physicians place on familial cancer-risk screening is influenced by expectations for the motivational impact of a high-risk genetic test result.
METHODS
Mailed survey of the Massachusetts Academy of Family Physicians.
RESULTS
Respondents expected patients would increase pursuit of screening for cancer (99.6%) and other diseases (89.9%), quit smoking (93.6%), and improve diet/exercise (92.5%). The degree of motivational effect was significantly related to the importance they place on screening.
CONCLUSIONS
Family physicians believe that a high-risk cancer genetic-test result would motivate their patients to pursue risk-reduction behavior, and this belief is related to the importance they place on screening their patients for an inherited risk of cancer.
目的
调查家庭医生对家族性癌症风险筛查的重视程度是否受到对高风险基因检测结果激励作用预期的影响。
方法
对马萨诸塞州家庭医生学会进行邮寄调查。
结果
受访者预计患者会增加对癌症筛查（99.6%）和其他疾病筛查（89.9%）的追求，戒烟（93.6%），并改善饮食/锻炼（92.5%）。激励效果的程度与他们对筛查的重视程度显著相关。
结论
家庭医生认为高风险癌症基因检测结果会促使患者采取降低风险的行为，并且这种信念与他们对患者进行遗传性癌症风险筛查的重视程度有关。
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