PT - JOURNAL ARTICLE AU - Walji, Sakina AU - Makuwaza, Tutsirai AU - Bearss, Erin AU - Kukan, Sahana AU - Greiver, Michelle AU - Aliarzadeh, Babak AU - Gupta, Karuna AU - Heisey, Ruth AU - Ivers, Noah AU - Kavanagh, Doug AU - Levy, Michelle AU - Moineddin, Rahim AU - Morrison, Shawna AU - Mutasingwa, Donatus AU - O’Brien, Mary Ann AU - Permaul, Joanne AU - Sullivan, Francis AU - Carroll, June TI - Innovative family history application-Provider’s perspectives AID - 10.1370/afm.22.s1.4623 DP - 2023 Nov 01 TA - The Annals of Family Medicine PG - 4623 VI - 21 IP - Supplement 3 4099 - http://www.annfammed.org/content/21/Supplement_3/4623.short 4100 - http://www.annfammed.org/content/21/Supplement_3/4623.full SO - Ann Fam Med2023 Nov 01; 21 AB - Context: A complete and up-to-date family history (FH) is imperative in primary care (PC). The identification of high-risk individuals may enable appropriate follow-up including genetic testing, personalized screening and management. Complete FH is rarely documented in the electronic medical record (EMR).Objective: To explore family physicians’ (FP) experiences and perceptions of an innovative EMR-integrated strategy to collect FH.Study design and analysis: Qualitative study involving telephone interviews with FPs. Thematic analysis was used for identifying, analyzing and reporting patterns. Three researchers independently performed line-by-line open coding of interview transcripts then met to discuss codes. An iterative process was used, meeting frequently to modify the interview and coding guide as new themes emerged. A coding framework was used to analyze the remaining transcripts. Major themes were identified until saturation was reached. An inductive approach to data analysis using the constant comparative method was used.Setting: Randomly selected PC team practices affiliated with University of Toronto Practice-Based Research Network in Ontario, Canada.Population studied: Eligible FPs from 3 intervention sites.Intervention: Emailed patient invitation to complete validated FH questionnaire, automatic EMR upload, FP notification and links to clinical support tools.Outcome measures: FPs’ experiences and perceptions of the strategy.Results: 15/20 FPs were interviewed. Average age was 48y, 71% identified as female, 43% practiced for less than 10 years and there was a range in practice type; community (7%), academic (57%), combined (36%).Six major themes were identified:FH provides important information about hereditary risk, permitting tailored patient management;The intervention was a new way to opportunistically collect FH by leveraging technology;It facilitated meaningful discussions with patients, contributing to perceived good patient care;It increased awareness and knowledge regarding management;Comprehensive review disclosed new information which led to clinically relevant management changes;Strategies are needed to increase acceptability.Conclusion: FPs expressed the importance of routine FH collection and its implications for clinical management. Factors contributing to the intervention’s success included being patient-initiated and seamless EMR integration. The intervention needs tailoring to different contexts.