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关于卡塔尔药剂师和医生对药物基因组学应用的认知与态度及其挑战的一项调查。

A survey on the awareness and attitude of pharmacists and doctors towards the application of pharmacogenomics and its challenges in Qatar.

作者信息

Elewa Hazem, Alkhiyami Dania, Alsahan Dima, Abdel-Aziz Ahmed

机构信息

Clinical Pharmacy and Practice Section, Qatar University, Doha, Qatar.

College of Pharmacy, Qatar University, Doha, Qatar.

出版信息

J Eval Clin Pract. 2015 Aug;21(4):703-9. doi: 10.1111/jep.12372. Epub 2015 Apr 30.

Abstract

RATIONALE, AIMS AND OBJECTIVES: Pharmacists are expected to play an important role in applying pharmacogenomics discoveries to patient care. Despite the increased attention to genetic research in Qatar, clinicians' attitudes towards the application of pharmacogenomics are not yet explored. The aim of this study was to assess the awareness and attitude of pharmacists compared with doctors towards pharmacogenomics and its implications by submitting an electronic-based survey to all pharmacists and doctors currently working in a large medical corporation in Qatar.

METHODS

A cross-sectional survey instrument was developed based on literature review. Eligible participants were pharmacists and doctors currently practicing in Hamad Medical Corporation hospitals in Qatar. The survey comprised questions on demographic and professional characteristics. It also evaluated the awareness, attitudes and challenges towards pharmacogenomics and its application.

RESULTS

We collected 202 surveys, 108 (53.2%) of which were pharmacists and the remaining 94 (46.5%) were doctors. The overall participants' mean total awareness score percentage was low (39% ± 22) and there were no difference between the mean score achieved by pharmacists and doctors. Pharmacists had significantly more positive attitudes than doctors towards: (i) taking the responsibility of applying pharmacogenomics to drug therapy selection, dosing and monitoring; (ii) perceiving a positive role of pharmacogenomics testing on the control of drug expenditure; and (iii) their willingness to participate in pharmacogenomics-related training sessions. Both pharmacists and doctors perceived lack of knowledge and guidelines as major challenges towards the application of pharmacogenomics in Qatar.

CONCLUSION

Despite doctors' and pharmacists' low level of awareness towards pharmacogenomics, they both have positive attitudes towards the clinical implications of pharmacogenomics. Pharmacists are more motivated to learn about pharmacogenomics and are more willing to take initiatives in its clinical application and patient education.

摘要

原理、目的和目标:药剂师有望在将药物基因组学的发现应用于患者护理方面发挥重要作用。尽管卡塔尔对基因研究的关注度有所提高,但尚未探讨临床医生对药物基因组学应用的态度。本研究的目的是通过向卡塔尔一家大型医疗公司目前在职的所有药剂师和医生进行电子调查,评估药剂师与医生相比对药物基因组学及其影响的认识和态度。

方法

基于文献综述开发了一种横断面调查工具。符合条件的参与者是目前在卡塔尔哈马德医疗公司医院执业的药剂师和医生。该调查包括有关人口统计学和专业特征的问题。它还评估了对药物基因组学及其应用的认识、态度和挑战。

结果

我们收集了202份调查问卷,其中108份(53.2%)是药剂师,其余94份(46.5%)是医生。参与者的总体平均总认识得分百分比很低(39%±22),药剂师和医生的平均得分没有差异。药剂师在以下方面比医生有更积极的态度:(i)承担将药物基因组学应用于药物治疗选择、给药和监测的责任;(ii)认识到药物基因组学检测对控制药物支出的积极作用;(iii)他们参与药物基因组学相关培训课程的意愿。药剂师和医生都认为知识和指南的缺乏是卡塔尔应用药物基因组学的主要挑战。

结论

尽管医生和药剂师对药物基因组学的认识水平较低,但他们对药物基因组学的临床意义都持积极态度。药剂师更有动力了解药物基因组学,更愿意在其临床应用和患者教育中采取主动行动。

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