在多个临床环境中实施药物基因组学:定性评估
Sarah A Shue1, Elizabeth Rowe2, Lauren A Bell2
1VA HSR&D Center for Health Information & Communication, Roudebush VA Medical Center, Indianapolis, IN 46202, USA.
Pharmacogenomics
|November 17, 2023
概括
实施药物基因组学 (PGx) 测试面临着诸如不清楚的付款和工作流的问题等挑战. 然而,强大的领导力和多学科团队可以促进其在临床环境中成功采用.
科学领域:
- 临床实施科学 临床实施科学
- 基因组医学是一种基因组医学.
背景情况:
- 药物基因组学 (PGx) 测试的临床采用对于个性化医学至关重要.
- 了解实施障碍和促进者是推动PGx使用的关键.
研究的目的:
- 识别和检查阻碍和促进PGx计划积极实施的障碍和促进因素.
- 收集来自学术医疗保健系统内的各种贡献者的见解.
主要方法:
- 与参与PGx实施的28名贡献者进行了定性访谈.
- 参与者包括临床提供者和信息学专家.
主要成果:
- 发现的关键障碍包括不清楚的支付机制,决策支持工具的开发,严格的工作流程和提供者教育.
- 一个多学科的实施团队和领导支持被认为是重要的促进者.
- 参与者提出了解决发现障碍的策略,并利用促进者.
结论:
- 实施贡献者的现实世界感知为PGx实施提供了一个全面的框架.
- 结果可以为最佳实践指南提供信息,以加强PGx在医疗保健系统中的采用.
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