Family History Collection Practices: National Survey of Pediatric Primary Care Providers

TitleFamily History Collection Practices: National Survey of Pediatric Primary Care Providers
Publication TypeJournal Article
Year of Publication2018
AuthorsTarini, B. A., Gornick, M. C., Zikmund-Fisher, B. J., Saal, H. M., Edmondson, L., & Uhlmann, W.
JournalClinical Pediatrics
Volume57
Issue5
Pagination537-546
Date Published05/2018
Abstract

While family history (FH) collection is a core responsibility of pediatric primary care providers (PCPs), few details about this practice are known. We surveyed a random national sample of 1200 pediatricians and family medicine physicians about FH collection practices. A total of 86% of respondents (n = 289 pediatricians; n = 152 family medicine physicians) indicated that they collect a FH "always" or "most of the time" with 77% reporting collection at the first visit, regardless of whether it is a health maintenance or problem-focused visit. Less than half ask about relatives other than parents, siblings, or grandparents (36.3%). Among respondents, 42% routinely update the FH at every health maintenance visit while 6% updated FH at every visit. Pediatric PCPs use a variety of methods to collect a FH that is limited in scope and variably updated. Our results suggest that interventions are needed to help pediatric PCPs collect a systematic, efficient, and updated FH