Title |
How Should Primary Care Physicians Respond to Direct-to-Consumer Genetic Test Results?
|
---|---|
Published in |
The AMA Journal of Ethic, September 2018
|
DOI | 10.1001/amajethics.2018.812 |
Pubmed ID | |
Authors |
Kyle B Brothers, Esther E Knapp |
Abstract |
In this case, a primary care physician is presented with direct-to-consumer genetic test results and asked to provide counseling and order follow-up diagnostics. In order to deal effectively with this situation, we suggest physicians need look no further than the practice principles that guide more routine clinical encounters. We examine the rationale behind 2 major clinical ethical considerations: (1) physicians have obligations to help their patients achieve reasonable health goals but are not obligated to perform procedures that are not medically indicated; and (2) primary care physicians do not need to know everything; they just need to know how to get their patients appropriate care. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 15 | 38% |
Spain | 3 | 8% |
United Kingdom | 3 | 8% |
Switzerland | 1 | 3% |
Mexico | 1 | 3% |
Puerto Rico | 1 | 3% |
San Marino | 1 | 3% |
Turkey | 1 | 3% |
South Africa | 1 | 3% |
Other | 1 | 3% |
Unknown | 12 | 30% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 29 | 73% |
Practitioners (doctors, other healthcare professionals) | 6 | 15% |
Scientists | 5 | 13% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 34 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 6 | 18% |
Student > Bachelor | 5 | 15% |
Student > Ph. D. Student | 5 | 15% |
Student > Doctoral Student | 4 | 12% |
Researcher | 3 | 9% |
Other | 4 | 12% |
Unknown | 7 | 21% |
Readers by discipline | Count | As % |
---|---|---|
Biochemistry, Genetics and Molecular Biology | 7 | 21% |
Nursing and Health Professions | 5 | 15% |
Medicine and Dentistry | 4 | 12% |
Business, Management and Accounting | 3 | 9% |
Arts and Humanities | 1 | 3% |
Other | 4 | 12% |
Unknown | 10 | 29% |