Primary care physician experiences with integrated pharmacogenomic testing in a community health system

Per Med. 2017 Sep;14(5):389-400. doi: 10.2217/pme-2017-0036. Epub 2017 Aug 2.

Abstract

Aim: To explore primary care physicians' views of the utility and delivery of direct access to pharmacogenomics (PGx) testing in a community health system.

Methods: This descriptive study assessed the perspectives of 15 healthcare providers utilizing qualitative individual interviews.

Results: Three main themes emerged: perceived value and utility of PGx testing; challenges to implementation in practice; and provider as well as patient needs.

Conclusion: While providers in this study viewed benefits of PGx testing as avoiding side effects, titrating doses more quickly, improving shared decision-making and providing psychological reassurance, challenges will need to be addressed such as privacy concerns, cost, insurance coverage and understanding the complexity of PGx test results.

Keywords: clinical implementation; clinical utility; personalized medicine; pharmacogenetics; pharmacogenomic testing; pharmacogenomics; primary care physicians; qualitative research.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Attitude of Health Personnel
  • Community Health Planning
  • Health Personnel
  • Humans
  • Pharmacogenetics / methods*
  • Pharmacogenomic Testing / statistics & numerical data*
  • Pharmacogenomic Testing / trends
  • Physicians, Primary Care
  • Precision Medicine / methods
  • Public Health
  • Surveys and Questionnaires