Objectives To explore general practitioners'attitudes towards and use of a computer program for assessing genetic risk of cancer in primary care.
Design Qualitative analysis of semistructured interviews and video recordings of simulated consultations.
Participants Purposive sample of 15 general practitioners covering a range of computer literacy, interest in genetics, age, and sex.
Interventions Each doctor used the program in two consultations in which an actor played a woman concerned about her family history of cancer.
Consultations were videotaped and followed by interviews with the video as a prompt to questioning.
Main outcome measures Use of computer program in the consultation.
Results The program was viewed as an appropriate application of information technology because of the complexity of cancer genetics and a sense of « guideline chaos » in primary care.
Doctors found the program easy to use, but it often affected their control of the consultation.
They needed to balance their desire to share the computer screen with the patient, driven by their concerns about the effect of the computer on doctor-patient communication, against the risk of premature disclosure of bad news.
Conclusions This computer program could provide the necessary support to assist assessment of genetic risk of cancer in primary care.
The potential impact of computer software on the consultation should not be underestimated. (...)
Mots-clés Pascal : Tumeur maligne, Glande mammaire, Ovaire, Assistance ordinateur, Attitude, Médecin généraliste, Evaluation, Facteur risque, Analyse qualitative, Homme, Femelle, Entretien, Epidémiologie, Enquête opinion, Angleterre, Grande Bretagne, Royaume Uni, Europe, Glande mammaire pathologie, Ovaire pathologie, Personnel sanitaire
Mots-clés Pascal anglais : Malignant tumor, Mammary gland, Ovary, Computer aid, Attitude, General practitioner, Evaluation, Risk factor, Qualitative analysis, Human, Female, Interview, Epidemiology, Opinion inquiry, England, Great Britain, United Kingdom, Europe, Mammary gland diseases, Ovarian diseases, Health staff
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0413168
Code Inist : 002B20C02. Création : 22/03/2000.