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How is family health history discussed in routine primary healthcare? A qualitative study of archived family doctor consultations.

Sara K FilocheMaria H StubbePhilip C RobinsonBridget RobsonKaryn ParingataiPhil WilcoxRegina JefferiesAnthony Dowell
Published in: BMJ open (2021)
Family health history is regarded as a genetic test and is embedded in the sociocultural norms of the patient from whom information is being sought. Our findings highlight that it is more complex than asking simply if 'anything' runs in the family. As the collection of family health history is expected to be more routine, it will be important to also consider it from sociocultural perspectives in order to help mitigate any inequities in how family history is collected, and therefore used (or not) in a person's healthcare. Orientating an enquiry away from 'anything' and asking more specific details about particular conditions may help facilitate the dialogue.
Keyphrases
  • healthcare
  • public health
  • health information
  • mental health
  • clinical practice
  • case report
  • dna methylation
  • social media
  • primary care
  • risk assessment
  • genome wide