Approaches to assessing the provider experience with clinical pharmacogenomic information: a scoping review

Genet Med. 2021 Sep;23(9):1589-1603. doi: 10.1038/s41436-021-01186-x. Epub 2021 Apr 29.

Abstract

Purpose: Barriers to the implementation of pharmacogenomics in clinical practice have been thoroughly discussed over the past decade.

Methods: The objective of this scoping review was to characterize the peer-reviewed literature surrounding the experiences and actions of prescribers, pharmacists, or genetic counselors when using pharmacogenomic information in real-world or hypothetical research settings.

Results: A total of 33 studies were included in the scoping review. The majority of studies were conducted in the United States (70%), used quantitative or mixed methods (79%) with physician or pharmacist respondents (100%). The qualitative content analysis revealed five major methodological approaches: hypothetical clinical case scenarios, real-world studies evaluating prescriber response to recommendations or alerts, cross-sectional quantitative surveys, cross-sectional qualitative surveys/interviews, and a quasi-experimental real-world study.

Conclusion: The findings of this scoping review can guide further research on the factors needed to successfully integrate pharmacogenomics into clinical care.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Systematic Review

MeSH terms

  • Cross-Sectional Studies
  • Humans
  • Pharmacists
  • Pharmacogenetics*
  • Physicians*
  • United States