Is Primary Care Ready to Utilize the Promise of Genetics? A Vignette Study

The identification of a genetic disorder or risk raises the question of risk for family members and with it concerns about rights and obligations in regard to disclosure of genetic risk information. This project uses a vignette survey method administered to health care providers (general internists, nurse practitioners, genetic counselors) and health care consumers (naive consumers and consumers experienced with a genetic disorder in their family) to examine: What are the expectations of both patients and health care providers in regard to sharing medical information? What specific aspects of a genetic risk information situation might influence providers to believe it necessary to reach out to a patient’s family members, and how might they think about whether it is ethically correct and pragmatically possible to do so? The research will identify barriers, both ethical and pragmatic, to the ethical and efficient deployment of genetic information to improve health outcomes.