Figure 1

Levels of acknowledging IFC among actors. Acknowledgment of IFC can be understood as levels that build upon each other. In Level 1, familial interest in a patient’s genetic information is simply acknowledged. In Level 2, not only is familial interest acknowledged but also a role for health-care professionals in guiding IFC is also acknowledged. In Level 3, in addition to acknowledging familial interest and the role for health-care professionals, resources are provided for patients and families to facilitate IFC. Acknowledgment of IFC among actors in the cancer care delivery can be understood as a continuum, where acknowledgment of IFC is less among health professional associations. Overall, among each of the actors, relatively few resources are offered for patients and families in support of IFC.