Online Program

Assessment of primary care provider presence and its impact on patient-centered clinical care during genetic consultations

Tuesday, November 5, 2013 : 4:30 p.m. - 4:50 p.m.

Yulia Strekalova, PhD, MBA, College of Journalism and Communications, University of Florida, Gainesville, FL
The relative scarcity of genetic service providers and the rapid increase in genetic information in the provision of health care have created a situation in which many primary care physicians (PCPs) and specialists are faced with difficulties in determining which of their patients would be well served by evaluation in the genetics clinic what the implications of genetic testing might mean for those patients. This paper aims to review literature and propose a conceptual framework predicting how participation of PCPs in genetic consultation sessions affects the quality of health care and addresses information and knowledge gaps in genetics specialty areas both for patients and PCPs. Major databases containing health communication and promotion literature (PubMed, PsycINFO, SSCI and ERIC) were searched to identify previous theoretical and empirical studies. The framework is based on the social learning theory and Devin's sensemaking model, and explains the affect of PCP's particiaption in specialty consults on individual's experience of and coping with the cognitive gap. Research propositions are presented and future research questions are discussed. The model also provides a foundation for practical evaluation of efficiency and effectiveness of PCP's partipation in specialty consults and its impact on the quality and continuity of primary care.

Learning Areas:

Clinical medicine applied in public health
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Define theories. Name moderators and mediators.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a doctoral student in Science/Health Communication. I hold a BA/MA degree in Mass Communication and an MBA. I also work with 120 faculty in the Department of Pediatrics assisting them in grant writing and project management. I have presented at national meetings on research administration and coordinate a funded health communication grant where I am a co-investigator. My research interests are health empowerment, health literacy, information behaviors, media effects and visual communication.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.