Family history-taking in community family practice: Implications for genetic screening

Purpose: To identify characteristics of physicians, patients, and visits as sociated with obtaining family history information in community family prac tice. Methods: Research nurses directly observed 4454 patient visits to 138 family physicians and reviewed office medical records. Results: Family his tory was discussed during 51% of visits by new patients and 22% of visits b y established patients. Physicians' rates of family history-taking varied f rom 0% to 81% of visits. Family history was more often discussed at well ca re rather than illness visits. The average duration of family history discu ssions was <2.5 minutes. Conclusions: These data can form the basis for rea listic interventions to increase the use of family history in primary care.