药物遗传学为基础的治疗决策的影响和推动因素 - 一项纵向混合方法研究,探索患者的视角
Anna Bollinger1,2, Melissa Semedo Fortes1, Henriette E Meyer Zu Schwabedissen2
1Pharmaceutical Care Research Group, Department of Pharmaceutical Sciences, University of Basel, 4056 Basel, Switzerland.
药物遗传学 (PGx) 测试显示了个性化医疗的潜力,但实际使用受到医疗保健专业知识缺口和系统障碍的阻碍. 有针对性的教育和协作是将PGx纳入常规临床实践的关键.
科学领域:
- 药物基因组学 药物基因组学
- 临床药理学 临床药理学
- 翻译医学是一种翻译医学.
背景情况:
- 药物遗传学 (PGx) 测试提供了个性化的药物治疗优化.
- 对于PGx的实际临床应用和长期影响的了解有限.
- 评估PGx对治疗决策和患者观点的影响对于实施至关重要.
研究的目的:
- 评估影响临床治疗决策的PGx信息的频率.
- 探索患者对使用和不使用PGx结果的观点.
- 确定在医疗保健环境中成功实施PGx的关键推动因素.
主要方法:
- 一项混合方法研究,涉及24名患者,大约在PGx测试后一年.
- 通过半结构化问卷收集基线和一年后的药物和健康数据.
- 对药物变化的分析和对PGx信息在这些变化中的作用的评估.
主要成果:
- 18名患者在一年内经历了62次药物改变,平均每名患者4次,主要由专家驱动.
- 在15名患者中,在39例药物变化中 (63%) 考虑了PGx信息.
- 使用PGx的障碍包括医疗保健专业知识缺陷,行政障碍和对患者倡导的依赖.
结论:
- 将PGx应用于临床实践需要解决医疗保健专业教育,专业间合作和政策意识问题.
- 测试提供商需要对PGx引导的药物选择提供明确,可操作的建议.
- 克服已识别的障碍可以将PGx测试作为个性化药物治疗的基本要素.
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