domingo, 15 de abril de 2012

Family History Tools in Primary Care: Does One Size Fit All?

full-text:
Family History Tools in Primary Care: Does One Size Fit All?

Paper
Family History Tools in Primary Care: Does One Size Fit All?
B.J. Wilsona, J.C. Carrollb, J. Allansonc, J. Littlea, H. Etchegarye, D. Avardf, B.K. Pottera, D. Castleg, J.M. Grimshawd, P. Chakrabortyc

aUniversity of Ottawa, Ottawa, Ont.,
bMt. Sinai Hospital, Toronto, Ont.,
cChildren’s Hospital of Eastern Ontario and
dOttawa Hospital Research Institute, Ottawa, Ont.,
eMemorial University, St. John’s, Nfld., and
fMcGill University, Montreal, Qué., Canada;
gUniversity of Edinburgh, Edinburgh, United Kingdom
Address of Corresponding Author
Public Health Genomics 2012;15:181-188 (DOI: 10.1159/000336431)

Abstract
Family health history (FHH) has potential value in many health care settings. This review discusses the potential uses of FHH information in primary care and the need for tools to be designed accordingly. We developed a framework in which the attributes of FHH tools are mapped against these different purposes. It contains 7 attributes mapped against 5 purposes. In considering different FHH tool purposes, it is apparent that different attributes become more or less important, and that tools for different purposes require different implementation and evaluation strategies. The context in which a tool is used is also relevant to its effectiveness. For FHH tools, it is unlikely that ‘one size fits all’, although appreciation of different purposes, users and contexts should facilitate the development of different applications from single FHH platforms.
Copyright © 2012 S. Karger AG, Basel

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