药物基因组学服务的演变和在一个大型农村医疗保健系统中实施一个多州药物基因组学诊所
Joel Van Heukelom1,2, Jennifer Morgan1,3, Amanda Massmann1,2
1Sanford Imagenetics, Sanford Health, Sioux Falls, SD, United States.
一个由药剂师和先进实践提供者 (APP) 领导的新药基因组学 (PGx) 诊所成功地将PGx测试与患者护理相结合. 这种跨学科模式增强了提供者信心和患者获得个性化医疗的机会.
科学领域:
- 药物基因组学 药物基因组学
- 临床药房 临床药房
- 个性化医疗是个性化的医疗.
背景情况:
- 药物基因组学 (PGx) 的临床采用受到提供者信心和测试可访问性的限制.
- 新的临床模型正在出现,将PGx测试整合到日常医疗保健中.
- 一个卫生系统发现需要改善提供者之间的PGx利用.
研究的目的:
- 描述一个新的跨学科药物基因组学 (PGx) 诊所的实施和早期结果.
- 解决提供者知识,信心和PGx测试的利用方面的差距.
- 评估一个合作诊所模型的有效性,其中包括药剂师和先进实践提供者 (APP).
主要方法:
- 实施了联合药剂师和APP合作诊所,提供PGx咨询和建议.
- 为患者提供PGx测试前后的咨询服务.
- 在四个州提供了面对面和虚拟咨询.
- 追踪患者转诊类型和药物配置文件.
主要成果:
- 大多数患者 (77%) 是临床医生推的.
- 患者平均服用了两种药物,符合临床药物遗传学实施联盟 (CPIC) 的指导方针.
- 面对面和虚拟访问几乎在同等程度上被利用.
- 临床医生对转诊的参与度很高.
结论:
- 跨学科的PGx诊所模型成功地增强了卫生系统的PGx计划.
- 早期采用远程医疗对于诊所的成功至关重要.
- 从这一实施中吸取的经验教训可以为其他PGx程序的发展提供信息.
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