![]() In primary care, family history is an inexpensive, non-invasive aid for diagnosis and risk-assessment in medical genetics ( Citation2, Citation3). The family history reflects genetic, environmental and behavioural aspects of family health ( Citation1). Use of a family history tool improved identification of patients at risk for disease.Ĭonclusion: Several promising family history tools for primary care have been developed but large-scale implementation cannot be advised yet, based on available validation studies. No family history tool allows electronic transfer of family history information to electronic medical record systems. Of the five specific tools studied in primary care, none was validated. The six generic tools were partly tested in primary care (3x), are mainly computerized (4x), rarely include management recommendations for the physician (1x) and were partly validated against a reference standard (genetic counsellor) (3x, plus one planned). Results: Eighteen family history tools were identified: six generic, two on cardiovascular disease and ten on cancer. We reviewed diseases for which family history information was collected, study setting, tool design, type of family history collection, presence of risk-assessment and recommendations for management, and assessment (categorized as either validity or benefit). All authors independently screened studies and included original research papers on family history tools of which assessment had been performed or was planned. Methods: Studies were identified through searches of PubMed, Embase and Cinahl from 1 January 2002 until May 2012. Objective: To review systematically the characteristics of existing family history tools and discuss their potential use in primary care. Tools overcoming these barriers might support family physicians in this task. However, significant barriers to obtaining adequate family history information remain. established referral networks and strong working relationships with community attorneys, bank trust officers, financial planners, geriatric physicians, an in-home dentist, and an in-home podiatrist.įamily Care Services of Western New York offers each client a full range of traditional home health care services, a variety of ancillary home care services, as well as a comprehensive medical referral network.Background: Taking the family history helps the doctor in estimating the probability of disease in individual patients.home health care services on a 24 hour a day, 7 day a week basis.ongoing case management and supervision of your home care program by the Agency’s Director of Nursing. ![]() honest and reliable home health care workers who are fully insured.one to one personalized care tailored to meet your specific health care needs.a cost-effective alternative to nursing home placement.a full range of high quality home health care services.If you are faced with a decision concerning home health care for yourself, a family member, or a friend, talk to the home health care professionals at Family Care Services of Western New York. Our Agency's philosophy blends the time-honored principles of service with the most current health care technology to provide every client with the highest quality home health care available in Western New York. We pride ourselves on the level of involvement and commitment which we sustain in each client relationship. Our Agency is locally owned and operated and specializes in serving a suburban clientele. Family Care Services of Western New York has been providing high quality home health care services to the Western New York community since 1985.
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