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Primary care physicians' attitudes regarding race-based therapies.

Danielle Frank¹, Thomas H Gallagher, Sherrill L Sellers

¹VA Ann Arbor Healthcare System, Ambulatory Care 11A, 2215 Fuller Road, Ann Arbor, MI 48105, USA. dfp@u.mich.edu

Journal of General Internal Medicine

|February 23, 2010

Summary

Physicians have mixed views on race-based therapies, acknowledging potential benefits like patient motivation but expressing concerns about BiDil and equitable access to ACE inhibitors for Black patients.

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Area of Science:

Medical Ethics
Pharmacogenomics
Health Disparities

Background:

Limited information exists on considering race in clinical practice.
Physicians' understanding of race, genes, and drugs impacts patient care and health disparities.

Purpose of the Study:

To explore primary care physicians' use of race-based therapies.
Specifically examined BiDil (isosorbide dinitrate/hydralazine) and ACE inhibitors in Black and White patients.

Main Methods:

Qualitative study utilizing 10 focus groups with 90 general internists.
Participants included Black and White physicians from academic and community practices.
Data were analyzed using template analysis of verbatim transcripts.

Main Results:

Physicians expressed varied opinions on race-based therapies.
Some supported therapies for patient motivation and adherence.
Concerns were raised about equitable access to ACE inhibitors for Black patients and the commercial motivations behind BiDil.

Conclusions:

Primary care physicians demonstrate a nuanced perspective on race-based therapies.
There is a general wariness regarding the routine use of such therapies in clinical practice.