Barriers and Motivators for Referral of Patients with Suspected Lynch Syndrome to Cancer Genetic Services: A Qualitative Study

This article explores the views of general practitioners and specialists on their referral of patients with suspected Lynch syndrome to cancer genetic services. Using a purposive maximum variation sampling strategy, we conducted semi-structured interviews face-to-face with 28 general practitioners a...

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Main Authors: Yen Y. Tan, Lisa J. Fitzgerald
Format: Article
Language:English
Published: MDPI AG 2014-02-01
Series:Journal of Personalized Medicine
Subjects:
Online Access:http://www.mdpi.com/2075-4426/4/1/20
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author Yen Y. Tan
Lisa J. Fitzgerald
author_facet Yen Y. Tan
Lisa J. Fitzgerald
author_sort Yen Y. Tan
collection DOAJ
description This article explores the views of general practitioners and specialists on their referral of patients with suspected Lynch syndrome to cancer genetic services. Using a purposive maximum variation sampling strategy, we conducted semi-structured interviews face-to-face with 28 general practitioners and specialists in public or private hospitals and specialist clinics between March and August 2011. General practitioners and specialists were recruited in a major metropolitan area in Australia. Interview transcripts were reviewed by two independent researchers, and thematic analysis was performed using NVivo10 software. The main barriers and motivators identified were: (1) clinician-related (e.g., familiarity with Lynch syndrome and family history knowledge); (2) patient-related (e.g., patients’ interests and personal experience with cancer); and (3) organizational-related (e.g., access to services, guidelines and referral pathway). Referral of patients with suspected Lynch syndrome to cancer genetic services is motivated and hindered by a range of individual, interpersonal and organizational factors. In order to improve the care and quality of life of patients and family with suspected Lynch syndrome, further research is needed to develop supportive tools for clinicians.
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spelling doaj.art-076a32e00e5d45268764939180842fbc2023-08-02T08:46:28ZengMDPI AGJournal of Personalized Medicine2075-44262014-02-0141203410.3390/jpm4010020jpm4010020Barriers and Motivators for Referral of Patients with Suspected Lynch Syndrome to Cancer Genetic Services: A Qualitative StudyYen Y. Tan0Lisa J. Fitzgerald1School of Medicine, The University of Queensland, 288 Herston Road, Herston, QLD 4006, AustraliaSchool of Population Health, The University of Queensland, 288 Herston Road, Herston, QLD 4006, AustraliaThis article explores the views of general practitioners and specialists on their referral of patients with suspected Lynch syndrome to cancer genetic services. Using a purposive maximum variation sampling strategy, we conducted semi-structured interviews face-to-face with 28 general practitioners and specialists in public or private hospitals and specialist clinics between March and August 2011. General practitioners and specialists were recruited in a major metropolitan area in Australia. Interview transcripts were reviewed by two independent researchers, and thematic analysis was performed using NVivo10 software. The main barriers and motivators identified were: (1) clinician-related (e.g., familiarity with Lynch syndrome and family history knowledge); (2) patient-related (e.g., patients’ interests and personal experience with cancer); and (3) organizational-related (e.g., access to services, guidelines and referral pathway). Referral of patients with suspected Lynch syndrome to cancer genetic services is motivated and hindered by a range of individual, interpersonal and organizational factors. In order to improve the care and quality of life of patients and family with suspected Lynch syndrome, further research is needed to develop supportive tools for clinicians.http://www.mdpi.com/2075-4426/4/1/20Lynch syndromeclinical geneticsreferralbarriers and motivators knowledgeattitudes and referral practice
spellingShingle Yen Y. Tan
Lisa J. Fitzgerald
Barriers and Motivators for Referral of Patients with Suspected Lynch Syndrome to Cancer Genetic Services: A Qualitative Study
Journal of Personalized Medicine
Lynch syndrome
clinical genetics
referral
barriers and motivators knowledge
attitudes and referral practice
title Barriers and Motivators for Referral of Patients with Suspected Lynch Syndrome to Cancer Genetic Services: A Qualitative Study
title_full Barriers and Motivators for Referral of Patients with Suspected Lynch Syndrome to Cancer Genetic Services: A Qualitative Study
title_fullStr Barriers and Motivators for Referral of Patients with Suspected Lynch Syndrome to Cancer Genetic Services: A Qualitative Study
title_full_unstemmed Barriers and Motivators for Referral of Patients with Suspected Lynch Syndrome to Cancer Genetic Services: A Qualitative Study
title_short Barriers and Motivators for Referral of Patients with Suspected Lynch Syndrome to Cancer Genetic Services: A Qualitative Study
title_sort barriers and motivators for referral of patients with suspected lynch syndrome to cancer genetic services a qualitative study
topic Lynch syndrome
clinical genetics
referral
barriers and motivators knowledge
attitudes and referral practice
url http://www.mdpi.com/2075-4426/4/1/20
work_keys_str_mv AT yenytan barriersandmotivatorsforreferralofpatientswithsuspectedlynchsyndrometocancergeneticservicesaqualitativestudy
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