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

RESULTS

There were 271 (27.1%) FPs who completed the questionnaire, out of which 66 (24.4%) were men and 205 (75.6%) were women (Table 1). Mean age of the sample was 45.5 ± 10.6 years. Mean age of the men was 50.1 ± 11.8 and mean age of the women was 43.9 ± 9.7 (p <0.001). Mean working period of the sample was 17.3 ± 11.6 years and mean time from graduation 19.6 ± 10.9 years. Mean number of patient seen by the FP in the previous week was 213.7 ± 77.7. When dealing with the clinical case, most FPs expressed willingness to take Mr. Smith’s family history. More than 70.0% of FPs would tell Mr. Smith that it was his responsibility to tell his brother about the genetic risk and almost 90.0% would tell Mr. Smith to tell his brother to come to see them. In the last case, more than 90.0% of FPs would inform Mr. Smith’s brother about the risk by themselves (Table 2). Younger FPs were more inclined to give the information to Mr. Smith (t = –2.040, p = 0.042). Similar associations were found regarding years from graduation (t = –2.054, p = 0.041). Younger FPs (and those with less working years) would also more likely respect the wish of Mr. Smith not to inform his brother about the mutation (t = –2.112, p = 0.036; t = –2.065, p = 0.040; respectively). On the other hand, older FPs, FPs with more working years and with more time since graduation would inform Mr. Smith’s brother on his next visit to the practice (t = 3.112, p = 0.002; t = 2.823, p = 0.005; t = 2.925, p = 0.004). Similar findings were detected also in terms of association of age/years from graduation/ working experiences and respecting or disrespecting the patient’s wish regarding his brother and referrals to clinical specialists (Table 3).



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