社区药房的药物遗传测试和咨询:对一个由药剂师领导的新服务进行混合方法研究
Chiara Jeiziner1, Henriette E Meyer Zu Schwabedissen2, Kurt E Hersberger1
1Pharmaceutical Care Research Group, Department of Pharmaceutical Sciences, University of Basel, Klingelbergstrasse 50, 4056, Basel, Switzerland.
International journal of clinical pharmacy
|June 20, 2023
概括
在社区药房进行药物遗传学 (PGx) 测试是可行的,大多数患者理解结果并执行建议. 医疗保健提供者应该根据患者的健康素养量身定制沟通,以获得更好的PGx服务结果.
科学领域:
- 药物基因组学 药物基因组学
- 个性化医疗是个性化的医疗.
- 社区药房实践 社区药房实践
背景情况:
- 药物遗传学 (PGx) 测试和咨询在社区药房中并不经常提供.
- 建议建立一个由药剂师领导的服务,将PGx信息整合到药物评价中.
研究的目的:
- 从患者的角度评估由药剂师领导的PGx服务,包括测试和咨询.
- 评估患者的理解,推实施,文件处理,药物知识和支付意愿.
主要方法:
- 混合方法研究,涉及接受PGx服务的患者进行两次后续采访 (F1和F2).
- 半结构化的电话采访涵盖了PGx理解,建议遵守,文档管理和感知价值.
主要成果:
- 在F1采访了25名患者,在F2采访了42名患者;大多数患者理解并利用了PGx结果.
- 69%的患者至少执行了一项PGx建议; 62%的患者愿意为该服务付费.
- 患者对PGx文件的处理有所不同,从忘记结果到频繁的咨询,有时带有焦虑.
结论:
- 医疗保健提供者应评估患者的健康素养,以标准化PGx测试和咨询.
- 有效的沟通策略对于改善患者对PGx的理解和减轻负面期望至关重要.
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