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临床医生对药物基因组学的态度分析

Analysis of clinicians' attitudes towards pharmacogenomics.

作者信息

Dodson Crystal, Van Riper Marcia

机构信息

School of Nursing, University of North Carolina Chapel Hill, Carrington Hall, CB 7460, Chapel Hill, NC 27599-27240, USA.

出版信息

Per Med. 2011 Sep;8(5):533-540. doi: 10.2217/pme.11.43.

DOI:10.2217/pme.11.43
PMID:29793249
Abstract

AIM

The use of genetic information to guide a patient's drug therapy will have a great influence on clinical practice within healthcare. However, despite the prospective benefits of pharmacogenetic testing, little is known regarding what clinicians actually think about this promising technology. The purpose of this study was to assess attitudes towards pharmacogenetic testing not previously highlighted within a larger study on clinicians' knowledge and attitudes about pharmacogenetic testing conducted by an interdisciplinary group of researchers at the University of North Carolina at Chapel Hill.

MATERIALS & METHODS: The sample included 184 responses to an open-ended question. A thematic analysis of these responses was completed.

RESULTS

The thematic analysis identified several themes that were not previously delineated within the original study. The analysis uncovered five additional themes including: application concerns, lack of successful integration, accessibility, potential harm and optimism.

CONCLUSION

Future research on the assessment of attitudes of clinicians concerning pharmacogenomics should incorporate these themes. In addition, educational activities conveying knowledge concerning pharmacogenomics needs to become readily available to healthcare providers. Finally, a study that addresses any disparity related to pharmacogenomics needs to be undertaken.

摘要

目的

利用基因信息指导患者的药物治疗将对医疗保健领域的临床实践产生重大影响。然而,尽管药物遗传学检测具有潜在益处,但对于临床医生对这一前景广阔的技术的实际看法却知之甚少。本研究的目的是评估对药物遗传学检测的态度,这在北卡罗来纳大学教堂山分校的一个跨学科研究团队进行的关于临床医生对药物遗传学检测的知识和态度的大型研究中未曾得到突出强调。

材料与方法

样本包括对一个开放式问题的184份回复。对这些回复进行了主题分析。

结果

主题分析确定了几个在原研究中未被描述的主题。分析发现了另外五个主题,包括:应用问题、缺乏成功整合、可及性、潜在危害和乐观态度。

结论

未来关于评估临床医生对药物基因组学态度的研究应纳入这些主题。此外,需要为医疗保健提供者提供随时可得的传达药物基因组学知识的教育活动。最后,需要开展一项解决与药物基因组学相关的任何差异的研究。

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引用本文的文献

1
Genetic tests obtainable through pharmacies: the good, the bad, and the ugly.通过药店获得的基因检测:好坏参半。
Hum Genomics. 2013 Jul 8;7(1):17. doi: 10.1186/1479-7364-7-17.
2
Incorporating direct-to-consumer genomic information into patient care: attitudes and experiences of primary care physicians.将直接面向消费者的基因组信息纳入患者护理:基层医疗医生的态度和经历。
Per Med. 2012 Sep 1;9(7):683-692. doi: 10.2217/pme.12.80.
3
Primary care physicians' knowledge of and experience with pharmacogenetic testing.初级保健医生对药物基因组学检测的认识和经验。
Clin Genet. 2012 Oct;82(4):388-94. doi: 10.1111/j.1399-0004.2012.01908.x. Epub 2012 Jul 3.
4
Survey of genetic counselors and clinical geneticists' use and attitudes toward pharmacogenetic testing.遗传咨询师和临床遗传学家对药物遗传学检测的使用和态度调查。
Clin Genet. 2012 Aug;82(2):115-20. doi: 10.1111/j.1399-0004.2012.01848.x. Epub 2012 Feb 19.