A systematic review of the literature exploring the role of primary care in genetic services.

摘要: Background In response to growing demands on genetics departments and advances in genetic medicine, it has been proposed that primary care should provide a frontline service clinical genetics. However, there are concerns may be unwilling or ill prepared take this new role. Objectives This study aimed review systematically the literature exploring role of delivering services, define potential methods supporting provision services. Methods Seven electronic databases were searched. was complemented by contacting experts field handsearching reference lists. total, 230 papers identified, including traditional reviews, which 96 examined detail. Fifty-one included review. On account heterogeneity we conducted qualitative synthesis results, focusing five key questions. Results GPs accept they have an increasing play genetics, but lack confidence their ability do so because limited knowledge Evidence from pilot studies cystic fibrosis screening provides strongest evidence for feasibility providing services care. Conclusions Although issues currently constitute relatively small part overall workload care, will almost certainly change light discoveries. Educational programmes referral guidelines, computer decision support nurse specialist outreach clinics useful