Addressing healthcare practitioner genetic knowledge, attitude and practices in Gauteng Province, South Africa

Abstract

Abstract Genetic testing and services are crucial in modern healthcare. Genetic testing is increasingly important in the diagnosis and treatment of more common diseases as well as rare diseases. Primary healthcare practitioners (HCPs), including general practitioners (GPs), are often the first contact point for patients seeking genetic information. However, many HCPs lack adequate genetic expertise to assist patients with genetic-related health concerns. Currently, no data is available on the genetic knowledge, attitudes, and behaviours of HCPs in the Gauteng province of South Africa. We aimed to investigate HCPs’ knowledge, attitude and behaviours towards genetics and genetic testing in the Gauteng province of South Africa. A tailored pre-validated questionnaire was administered online and in-person to targeted HCPs in the private healthcare sector in Gauteng, South Africa, to investigate genetic knowledge, behaviours and attitudes towards genetics and genetic testing. Of the 61 HCPs who responded (16.3% response), 95% were trained at South African medical schools. GPs, pathologists, physiotherapists, and specialists answered the questionnaire. Self-reported genetics knowledge was poor/very poor for 70% of respondents, making them ill-prepared to cope with the anticipated increasing demand for genetic information in primary healthcare. However, 93% displayed appropriate behaviour to genetic scenarios presented and showed positive attitudes towards providing and referring to, genetic services. Nevertheless, access to specific genetic information and resources was limited. Eighty-seven percent of respondents were interested in further genetic education. HCPs are interested in and expressed positive behaviours and attitudes towards genetics and genetic services, but their current knowledge is insufficient to cope with the growing demand.