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J. Pers. Med. 2014, 4(1), 20-34; doi:10.3390/jpm4010020
Article

Barriers and Motivators for Referral of Patients with Suspected Lynch Syndrome to Cancer Genetic Services: A Qualitative Study

1,2,3,*  and 4
1 School of Medicine, The University of Queensland, 288 Herston Road, Herston, QLD 4006, Australia 2 Molecular Cancer Epidemiology Laboratory, Genetics and Computational Biology Division, QIMR Berghofer Medical Research Institute, 300 Herston Road, Herston, QLD 4006, Australia 3 Queensland Centre for Gynaecological Cancer Research, Level 6 Ned Hanlon Building, Royal Brisbane and Women's Hospital, Butterfield Street, Herston, QLD 4029, Australia 4 School of Population Health, The University of Queensland, 288 Herston Road, Herston, QLD 4006, Australia
* Author to whom correspondence should be addressed.
Received: 27 November 2013 / Revised: 5 January 2014 / Accepted: 7 January 2014 / Published: 18 February 2014
(This article belongs to the Special Issue Bringing Personalized Medicine into Clinical Practice)
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Abstract

This article explores the views of general practitioners and specialists on their referral of patients with suspected Lynch syndrome to cancer genetic services. Using a purposive maximum variation sampling strategy, we conducted semi-structured interviews face-to-face with 28 general practitioners and specialists in public or private hospitals and specialist clinics between March and August 2011. General practitioners and specialists were recruited in a major metropolitan area in Australia. Interview transcripts were reviewed by two independent researchers, and thematic analysis was performed using NVivo10 software. The main barriers and motivators identified were: (1) clinician-related (e.g., familiarity with Lynch syndrome and family history knowledge); (2) patient-related (e.g., patients’ interests and personal experience with cancer); and (3) organizational-related (e.g., access to services, guidelines and referral pathway). Referral of patients with suspected Lynch syndrome to cancer genetic services is motivated and hindered by a range of individual, interpersonal and organizational factors. In order to improve the care and quality of life of patients and family with suspected Lynch syndrome, further research is needed to develop supportive tools for clinicians.
Keywords: Lynch syndrome; clinical genetics; referral; barriers and motivators knowledge; attitudes and referral practice Lynch syndrome; clinical genetics; referral; barriers and motivators knowledge; attitudes and referral practice
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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MDPI and ACS Style

Tan, Y.Y.; Fitzgerald, L.J. Barriers and Motivators for Referral of Patients with Suspected Lynch Syndrome to Cancer Genetic Services: A Qualitative Study. J. Pers. Med. 2014, 4, 20-34.

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