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助力精准医疗:阿联酋社区药剂师关于药物基因组学知识、态度和认知的全国性调查见解

Empowering precision medicine: Insights from a national survey on pharmacogenomics knowledge, attitudes, and perceptions among community pharmacists in the UAE.

作者信息

Jairoun Ammar Abdulrahman, Al-Hemyari Sabaa Saleh, Shahwan Moyad, Al-Ani Mena, Yaseen Mustafa Aal, Al-Aawad Mahmood H, Alnuaimi Ghala Rashid, Mahalakshmi B

机构信息

Health and Safety Department, Dubai Municipality, Dubai, United Arab Emirates.

Discipline of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia (USM), Pulau Pinang 11500, Malaysia.

出版信息

Explor Res Clin Soc Pharm. 2024 Sep 12;16:100508. doi: 10.1016/j.rcsop.2024.100508. eCollection 2024 Dec.

Abstract

BACKGROUND

Community pharmacists are essential to pharmacogenomics implementation because they can help trainers, clinical advisors, and other medical professionals understand the importance of pharmacogenomics and encourage them to use it in their practice. This study is to evaluate the community pharmacists' understanding, attitudes, and perceptions of pharmacogenomics in the United Arab Emirates (UAE).

METHODS

Professionals employed at community pharmacies in Abu Dhabi, Dubai, and the Northern Emirates participated in a cross-sectional study design. From July 2023 to February 2024, five pharmacy students in their last year conducted the survey. The study team employed a structured questionnaire to collect data in addition to conducting in-person interviews. The study questionnaire comprised three distinct sections namely, demographic information, knowledge of pharmacogenomics concepts, and perceptions regarding pharmacogenomics.

RESULTS

A total of 586 pharmacists enrolled in the study. The average knowledge score regarding pharmacogenomics was 75.1 % with a 95 % confidence interval (CI) of [72.4 %, 77.7 %]. The average attitude score toward pharmacogenomics was 67.5 % with a 95 % CI of [66.3 %, 68.7 %]. Better pharmacogenomics knowledge among several groups: independent pharmacies (OR 1.7; 95 % CI 1.2-2.4), Pharmacists in Charge (OR 1.4; 95 % CI 1.3-2.02), pharmacists with 11-15 years of experience (OR 2.1; 95 % CI 1.4-4.2), graduates from international universities (OR 4.6; 95 % CI 1.6-12.9), and those who received training on pharmacogenomics (OR 11.9; 95 % CI 3.3-14.5). Similarly, better attitude scores were observed among independent pharmacies (OR 1.5; 95 % CI 1.1-2.1), Pharmacists in Charge (OR 1.5; 95 % CI 1.07-2.1), pharmacists with 16-20 years of experience (OR 2.1; 95 % CI 1.16-3.7), graduates regional universities (OR 1.47; 95 % CI 1.05-2.1), and those who received training on pharmacogenomics (OR 4.8; 95 % CI 3.2-7.3).

CONCLUSION

The positive attitudes toward pharmacogenomics that we found in our research indicate that community pharmacists in the United Arab Emirates are beginning to realize the potential advantages of pharmacogenomics in terms of improving patient care. Policies ensuring the privacy and confidentiality of genetic information are also necessary in considering concerns about the availability of genetic test results to insurance companies and potential employers.

摘要

背景

社区药剂师对于药物基因组学的实施至关重要,因为他们可以帮助培训人员、临床顾问和其他医疗专业人员理解药物基因组学的重要性,并鼓励他们在实践中使用它。本研究旨在评估阿拉伯联合酋长国(阿联酋)社区药剂师对药物基因组学的理解、态度和看法。

方法

在阿布扎比、迪拜和阿联酋北部地区社区药房工作的专业人员参与了一项横断面研究设计。2023年7月至2024年2月,五名即将毕业的药学专业学生进行了此项调查。研究团队除了进行面对面访谈外,还采用结构化问卷收集数据。研究问卷包括三个不同部分,即人口统计学信息、药物基因组学概念知识以及对药物基因组学的看法。

结果

共有586名药剂师参与了该研究。药物基因组学的平均知识得分是75.1%,95%置信区间(CI)为[72.4%,77.7%]。对药物基因组学的平均态度得分为67.5%,95%CI为[66.3%,68.7%]。在几个群体中药物基因组学知识水平较高:独立药房的药剂师(比值比[OR]1.7;95%CI 1.2 - 2.4)、主管药师(OR 1.4;95%CI 1.3 - 2.02)、有11 - 15年工作经验的药剂师(OR 2.1;95%CI 1.4 - 4.2)、国际大学毕业的药剂师(OR 4.6;95%CI 1.6 - 12.9)以及接受过药物基因组学培训的药剂师(OR 11.9;95%CI 3.3 - 14.5)。同样,在独立药房的药剂师(OR 1.5;95%CI 1.1 - 2.1)、主管药师(OR 1.5;95%CI 1.07 - 2.1)、有16 - 20年工作经验的药剂师(OR 2.1;95%CI 1.16 - 3.7)、地区大学毕业的药剂师(OR 1.47;95%CI 1.05 - 2.1)以及接受过药物基因组学培训的药剂师(OR 4.8;95%CI 3.2 - 7.3)中观察到更好的态度得分。

结论

我们在研究中发现的对药物基因组学的积极态度表明,阿联酋的社区药剂师开始意识到药物基因组学在改善患者护理方面的潜在优势。考虑到对保险公司和潜在雇主获取基因检测结果的担忧,确保基因信息隐私和保密的政策也是必要的。

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