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Pharmacogenomic testing to support prescribing in primary care: a structured review of implementation models.
- Source :
-
Pharmacogenomics [Pharmacogenomics] 2021 Aug; Vol. 22 (12), pp. 761-776. Date of Electronic Publication: 2021 Sep 01. - Publication Year :
- 2021
-
Abstract
- The application of pharmacogenomics could meaningfully contribute toward medicines optimization within primary care. This review identified 13 studies describing eight implementation models utilizing a multi-gene pharmacogenomic panel within a primary care or community setting. These were small feasibility studies (n <200). They demonstrated importance and feasibility of pre-test counseling, the role of the pharmacist, data integration into the electronic medical record and point-of-care clinical decision support systems (CDSS). Findings were considered alongside existing primary care prescribing practices and implementation frameworks to demonstrate how issues may be addressed by existing nationalized healthcare and primary care infrastructure. Development of point-of-care CDSS should be prioritized; establishing clinical leadership, education programs, defining practitioner roles and responsibilities and addressing commissioning issues will also be crucial.
- Subjects :
- Decision Support Systems, Clinical standards
Humans
Pharmacists standards
Pharmacists trends
Pharmacogenetics methods
Pharmacogenetics standards
Pharmacogenetics trends
Pharmacogenomic Testing standards
Pharmacogenomic Testing trends
Primary Health Care standards
Primary Health Care trends
Decision Support Systems, Clinical trends
Drug Prescriptions standards
Pharmacogenomic Testing methods
Primary Health Care methods
Subjects
Details
- Language :
- English
- ISSN :
- 1744-8042
- Volume :
- 22
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- Pharmacogenomics
- Publication Type :
- Academic Journal
- Accession number :
- 34467776
- Full Text :
- https://doi.org/10.2217/pgs-2021-0032