University of Exeter Medical School, Institute of Health Services Research, Exeter, UK.
BMJ Open. 2013 May 28;3(5):e002706. doi: 10.1136/bmjopen-2013-002706.
To explore doctors' understanding of individualisation of drug treatments, and identify the methods used to achieve individualisation.
In this exploratory study, we used in-depth qualitative interviews with doctors to gain insight into their understanding of the term 'individualised treatments' and the methods that they use to achieve it.
16 general practitioners in 6 rural and 10 urban practices, 2 geriatricians and 2 clinical academics were recruited.
Primary and secondary care in South West of England.
Understanding of individualisation varied between doctors, and their initial descriptions of individualisation were not always consistent with subsequent examples of the patients they had treated. Understandings of, and methods used to achieve, individualised treatment were frequently discussed in relation to making drug treatment decisions. Few doctors spoke of using strategies to support patients to individualise their own treatments after the consultation.
Despite its widespread use, variation in doctors' understanding of the term individualisation highlights the need for it to be defined. Efforts are needed to develop effective methods that would offer a structured approach to support patients to manage their treatments after consultations.
探讨医生对药物个体化治疗的理解，并确定实现个体化治疗的方法。
在这项探索性研究中，我们对医生进行了深入的定性访谈，以深入了解他们对“个体化治疗”一词的理解，以及他们用来实现个体化治疗的方法。
在 6 家农村和 10 家城市诊所招募了 16 名全科医生、2 名老年病医生和 2 名临床学者。
英格兰西南部的初级和二级保健。
医生对个体化的理解存在差异，他们对个体化的最初描述并不总是与随后对他们治疗过的患者的例子一致。对个体化治疗的理解和实现个体化治疗的方法经常在制定药物治疗决策时进行讨论。很少有医生提到在咨询后使用策略来支持患者个体化他们自己的治疗。
尽管个体化治疗被广泛应用，但医生对该术语的理解存在差异，这突出了需要对其进行定义的必要性。需要努力开发有效的方法，为患者在咨询后管理治疗提供结构化的方法。
