Identification and referral
to genetic services

Predisposing factors

Awareness

Knowledge

Confidence

Clinician demographics

Enabling factors

Access to and availability of genetic services

Wait time

Cost

Reinforcing factors

Referral process

History

Family

Personal

Clinical guidelines

Patient request

Outcomes

Identification of mutation carriers in the family

Screening and surveillance for mutation carriers and family members

More accurate diagnosis and risk assessment of family members