FAMILY PHYSICIANS’ MANAGEMENT OF GENETIC
ASPECTS OF A CARDIAC DISEASE: A SCENARIO-BASED
STUDY FROM SLOVENIA
Klemenc-Ketiš Z, Peterlin B
*Corresponding Author: Assistant Professor Zalika Klemenc-Ketiš, M.D., Ph.D., Medical Faculty Maribor, Taborska 8,
2000 Maribor, Slovenia. Tel.: +386-41-516-067. Fax: +386-590-30-250. E-mail: zalika.klemenc.ketis@gmail.com
page: 15
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Abstract
The aim of this study was to find out how Slovenian
family physicians (FPs) would manage a hypothetical
clinical case, to explore their views about
possible ethical dilemmas associated with this clinical
case and to determine possible associations with
demographic and other characteristics of FPs. This
was an observational cross-sectional postal study in
the Slovenian FPs’ surgeries. The study population
consisted of the whole population of Slovenian FPs
(n = 950). The main outcome measures were the percentages
of the answers of FPs on different questions
about the clinical case on the management of patient
and his relative with hereditary cardiomyopathy.
There were 271 FPs who answered the questionnaire
(response rate was 27.1%). A sample included
66 (24.4%) men and the mean age of all respondents
was 45.5 ± 10.6 years. When dealing with the clinical
case, most FPs expressed willingness to take the
patient’s family history. Only 34.2% FPs did not believe
that ordering genetic tests was part of their job.
Additionally, only 50.0% of them felt competent to
interpret the genetic risk, 25.0% of them would give
information about genetic testing and only 6.0%
would interpret the results of the genetic testing.
Family physicians in Slovenia were willing to
include genetic tasks into routine management of
their patients, but they do not feel competent enough
to interpret the genetic risks and the results of genetic
testing. However, an important part of FPs would
not refer patients at risk to genetic counseling. The
inclusion of genetic topics to family medicine specialization
curriculum is needed.
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