Primary care providers' experiences with and perceptions of personalized genomic medicine

被引:0
作者
Carroll, June C. [1 ,2 ]
Makuwaza, Tutsirai [3 ,4 ,5 ]
Manca, Donna P. [6 ,7 ,8 ]
Sopcak, Nicolette [9 ]
Permaul, Joanne A. [10 ]
O'Brien, Mary Ann [2 ,11 ]
Heisey, Ruth [2 ,12 ,13 ]
Eisenhauer, Elizabeth A. [14 ,15 ,16 ]
Easley, Julie [17 ]
Krzyzanowska, Monika K. [18 ,19 ]
Miedema, Baukje [20 ]
Pruthi, Sandhya [21 ,22 ]
Sawka, Carol [23 ,24 ]
Schneider, Nancy [25 ]
Sussman, Jonathan [26 ,27 ]
Urquhart, Robin [28 ,29 ]
Versaevel, Catarina [30 ]
Grunfeld, Eva [2 ,31 ]
机构
[1] Sinai Hlth Syst, Granovsky Gluslan Family Med Ctr, Toronto, ON, Canada
[2] Univ Toronto, Dept Family & Community Med, Toronto, ON M5S 1A1, Canada
[3] Sinai Hlth Syst, Dept Family Med, Toronto, ON, Canada
[4] Sinai Hlth Syst, Dept Community Med, Toronto, ON, Canada
[5] Univ Toronto, Toronto, ON M5S 1A1, Canada
[6] Univ Alberta, Alberta Family Practice Res Network, Edmonton, AB, Canada
[7] Univ Alberta, Northern Alberta Primary Care Res Network, Edmonton, AB, Canada
[8] Univ Alberta, Res, Dept Family Med, Edmonton, AB, Canada
[9] Univ Alberta, Dept Family Med, Edmonton, AB T6G 2M7, Canada
[10] Mt Sinai Hosp, Dept Family Med, Sinai Hlth Syst, Toronto, ON, Canada
[11] Ontario Inst Canc Res, Knowledge Translat Res Network, Hlth Serv Res Program, Toronto, ON, Canada
[12] Womens Coll Hosp, Dept Family & Community Med, Toronto, ON, Canada
[13] Princess Margaret Hosp, Toronto, ON, Canada
[14] Queens Univ, Dept Oncol, Kingston, ON, Canada
[15] Canadian Partnership Canc, Toronto, ON, Canada
[16] Canadian Canc Res Alliance, Toronto, ON, Canada
[17] Dalhousie Family Med Teaching Unit, Fredericton, NB, Canada
[18] Princess Margaret Canc Ctr, Toronto, ON, Canada
[19] Canc Care Ontario, Qual Care & Access Syst Treatment Program, Toronto, ON, Canada
[20] Dalhousie Family Med Teaching Unit, Res, Fredericton, NB, Canada
[21] Mayo Clin, Div Gen Internal Med, Rochester, MN USA
[22] Mayo Clin, Breast Diagnost Clin, Dept Internal Med, Rochester, MN USA
[23] Univ Toronto, Dept Med, Toronto, ON M5S 1A1, Canada
[24] Univ Toronto, Inst Hlth Policy Management & Evaluat, Toronto, ON M5S 1A1, Canada
[25] Govt Alberta, Edmonton, AB, Canada
[26] McMaster Univ, Dept Oncol, Hamilton, ON, Canada
[27] Canc Care Ontario, Survivorship Advisory Comm, Toronto, ON, Canada
[28] Dalhousie Univ, Dept Surg, Halifax, NS, Canada
[29] Dalhousie Univ, Dept Community Hlth & Epidemiol, Halifax, NS, Canada
[30] Beatrice Hunter Canc Res Inst, Halifax, NS, Canada
[31] Ontario Inst Canc Res, Knowledge Translat Res, Hlth Serv Res Program, Toronto, ON, Canada
基金
加拿大健康研究院;
关键词
GENETICS EDUCATION; INFORMATION; FUTURE;
D O I
暂无
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective To assess primary care providers' (PCPs') experiences with, perceptions of, and desired role in personalized medicine, with a focus on cancer. Design Qualitative study involving focus groups. Setting Urban and rural interprofessional primary care team practices in Alberta and Ontario. Participants Fifty-one PCPs. Methods Semistructured focus groups were conducted and audiorecorded. Recordings were transcribed and analyzed using techniques informed by grounded theory including coding, interpretations of patterns in the data, and constant comparison. Main findings Five focus groups with the 51 participants were conducted; 2 took place in Alberta and 3 in Ontario. Primary care providers described limited experience with personalized medicine, citing breast cancer and prenatal care as main areas of involvement. They expressed concern over their lack of knowledge, in some circumstances relying on personal experiences to inform their attitudes and practice. Participants anticipated an inevitable role in personalized medicine primarily because patients seek and trust their advice; however, there was underlying concern about the magnitude of information and pace of discovery in this area, particularly in direct-to-consumer personal genomic testing. Increased knowledge, closer ties to genetics specialists, and relevant, reliable personalized medicine resources accessible at the point of care were reported as important for successful implementation of personalized medicine. Conclusion Primary care providers are prepared to discuss personalized medicine, but they require better resources. Models of care that support a more meaningful relationship between PCPs and genetics specialists should be pursued. Continuing education strategies need to address knowledge gaps including direct-to-consumer genetic testing, a relatively new area provoking PCP concern. Primary care providers should be mindful of using personal experiences to guide care.
引用
收藏
页码:E626 / E635
页数:10
相关论文
共 50 条
  • [31] Perspectives on primary care management of obstructive sleep apnea: a qualitative study of patients and health care providers
    Pendharkar, Sachin R.
    Blades, Kenneth
    Kelly, Jenny E.
    Tsai, Willis H.
    Lien, Dale C.
    Clement, Fiona
    Woiceshyn, Jaana
    McBrien, Kerry A.
    JOURNAL OF CLINICAL SLEEP MEDICINE, 2021, 17 (01): : 89 - 98
  • [32] Precision medicine in cancer treatment: Revolutionizing care through proteomics, genomics, and personalized therapies
    Jawdekar, Riddhi
    Mishra, Vaishnavi
    Hatgoankar, Kajal
    Tiwade, Yugeshwari R.
    Bankar, Nandkishor J.
    JOURNAL OF CANCER RESEARCH AND THERAPEUTICS, 2024, 20 (06) : 1687 - 1693
  • [33] Use of Machine Learning and Artificial Intelligence to Drive Personalized Medicine Approaches for Spine Care
    Khan, Omar
    Badhiwala, Jetan H.
    Grasso, Giovanni
    Fehlings, Michael G.
    WORLD NEUROSURGERY, 2020, 140 : 512 - 518
  • [34] Information and power: Women of color's experiences interacting with health care providers in pregnancy and birth
    Altman, Molly R.
    Oseguera, Talita
    McLemore, Monica R.
    Kantrowitz-Gordon, Ira
    Franck, Linda S.
    Lyndon, Audrey
    SOCIAL SCIENCE & MEDICINE, 2019, 238
  • [35] A national study of breast and colorectal cancer patients' decision-making for novel personalized medicine genomic diagnostics
    Issa, Amalia M.
    Tufail, Waqas
    Atehortua, Nelson
    McKeever, John
    PERSONALIZED MEDICINE, 2013, 10 (03) : 245 - 256
  • [36] A Genomic Test for Colorectal Cancer Risk: Is This Acceptable and Feasible in Primary Care?
    Saya, Sibel
    McIntosh, Jennifer G.
    Winship, Ingrid M.
    Clendenning, Mark
    Milton, Shakira
    Oberoi, Jasmeen
    Dowty, James G.
    Buchanan, Daniel D.
    Jenkins, Mark A.
    Emery, Jon D.
    PUBLIC HEALTH GENOMICS, 2020, 23 (3-4) : 110 - 121
  • [37] Views Of Primary Care Providers On Testing Patients For Genetic Risks For Common Chronic Diseases
    Hauser, Diane
    Obeng, Aniwaa Owusu
    Fei, Kezhen
    Ramos, Michelle A.
    Horowitz, Carol R.
    HEALTH AFFAIRS, 2018, 37 (05) : 793 - 800
  • [38] Why Strive after Clinical Social Medicine? From Epidemiological Association to Personalized Social Medicine: a Case of Breast Cancer Care
    Simoes, E.
    Sokolov, A. N.
    Graf, J.
    Pavlova, M. A.
    Brucker, S. Y.
    Wallwiener, D.
    Schmahl, F. W.
    Bamberg, M.
    GESUNDHEITSWESEN, 2016, 78 (02) : 97 - 102
  • [39] Patient and caregiver experiences at a specialized primary care center for autistic adults
    Hand, Brittany N.
    Coury, Daniel L.
    Darragh, Amy R.
    White, Susan
    Moffatt-Bruce, Susan
    Harris, Lauren
    Longo, Anne
    Gilmore, Daniel
    Garvin, Jennifer H.
    JOURNAL OF COMPARATIVE EFFECTIVENESS RESEARCH, 2020, 9 (16) : 1131 - 1140
  • [40] Exploring challenges in the patient's discharge process from the internal medicine service: A qualitative study of patients' and providers' perceptions
    Pinelli, Vincent
    Stuckey, Heather L.
    Gonzalo, Jed D.
    JOURNAL OF INTERPROFESSIONAL CARE, 2017, 31 (05) : 566 - 574