Harkness Project Title:  

Medicine in the 21st Century: Anticipating and Preventing Inequalities in Genetic Health Care Provision for Vulnerable Minority Populations

Mentor: Muin Khoury, M.D.

Placement: Center for Disease Control and Prevention

Biography at time of Harkness Fellowship: Nadeem Qureshi is a primary care physician and clinical associate director in primary care and honorary consultant in primary care development at the University of Nottingham. He is also director of the Clinical Genetics in Primary Care program at the NHS R&D funded Nottingham Primary Care Research Partnership and principal in general practice at The Surgery, Off Revelstoke Way, Rise Park, Nottingham. His research interests include primary care genetics and genetic health care policy. Qureshi holds a medical degree from University College London Medical School and a M.Sc. in health service research and technology assessment from the School of Health and Related Services at the University of Sheffield.

Project: Ford’s project examined how the quality of mental health care is being measured in the U.S., in which populations, and how that information is being reported and utilized.  He undertook case studies at fourteen organizations, including the National Committee for Quality Assurance, Centers for Medicare and Medicaid Services, the Veterans’ Healthcare Administration, United Behavioral Health, public mental health systems in Ohio and Texas, and Consumer Quality Initiatives Massachusetts.

Project: Qureshi explored the intersection of preventive genetic health care and disparities among underserved minority communities.  In particular, he explored how health beliefs may enhance or hinder preventive genetic care among these communities, physician competencies in providing preventive genetic services to these populations, and the impact of doctors who advise patients of familial risk.  He evaluated physician competencies through interviews with primary care providers in areas with large proportions of minority populations.  He also analyzed data from two surveys (Myriad; HealthStyles 2004) to explore patients’ health beliefs and community support networks.

E-Mail: nadeem.qureshi@nottingham.ac.uk

Career Activity Since Fellowship

• Clinical Reader in Primary Care, University of Nottingham and Honorary Consultant in Primary Care, NHS Derby City, 2006 

Harkness-Related Publications

Valdez R, Yoon PW, Qureshi N, Green RF, Khoury MJ. “Family History in Public Health Practice: A Genomic Tool for Disease Prevention and Health Promotion.” Annu. Rev. Public Health 2010; 31: 69-87.

Wilson BJ, Qureshi N, Santagulda P, et al. “Systematic Review: Family History in Risk Assessment for Common Dieseases.” Annals of Internal Medicine 2009; 151(12): 878-886.

Qureshi N, Kai J. “Genomic Medicine For Underserved Minority Populations in Family Medicine,” American Family Physician 2005;72:386-387

Qureshi N, Modell B, Modell M (2004). Raising the profile of genetics in primary care Nature Genetics Review 5:783–790.

Qureshi N, Armstrong S, Modell B (2004). General Practitioners Opinions of their role in providing an initial Prenatal Genetic Counselling Service: Does the inherited condition make a difference? Family Practice.