Table 2.

Summary of barriers and motivators for genetics referral of patients with suspected Lynch syndrome.

Factors	Barriers	Motivators
Clinician-related	Lack familiarity with Lynch syndrome	Knowledge of family history and age at diagnosis
	Lack of adherence to guidelines	Knowledge of tumour test results
	Negative attitude toward genetic testing	Improvement for patient diagnosis, treatment and clinical management
	Lack of professional experience
	Uncertain of who or when to refer
	Lack of awareness to importance of family history
Patient-related	Patients disinterest	Patients requests
	Lack of family history knowledge to guide referral
Organizational-related	Uncertain or perceived long wait time for a genetics appointment or test results	Practical information about genetic services (e.g., the availability and cost of testing, turnaround time)
	Unknown cost or assumed high costs of testing	Specific criteria or guidelines for referral
	Unfamiliar with genetic services	Increased collaboration with genetics specialist
		Prompts or triggers for referral
		Ease of access for services
		Continuing education for clinicians
		Better follow-up care or referral pathway