Pharmacogenomics;
Genomics;
Needs assessment;
Information needs;
Qualitative inquiry;
Pharmacists;
DRUG INFORMATION;
KNOWLEDGE-BASE;
COMMUNITY PHARMACISTS;
PERSONALIZED MEDICINE;
PART I;
IMPLEMENTATION;
WARFARIN;
PHARMGKB;
GENOTYPE;
CLOPIDOGREL;
D O I:
10.1016/j.ijmedinf.2015.11.015
中图分类号:
TP [自动化技术、计算机技术];
学科分类号:
0812 ;
摘要:
Introduction: As key experts in supporting medication-decision making, pharmacists are well-positioned to support the incorporation of pharmacogenomics into clinical care. However, there has been little study to date of pharmacists' information needs regarding pharmacogenomics. Understanding those needs is critical to design information resources that help pharmacists effectively apply pharmacogenomics information. Objectives: We sought to understand the pharmacogenomics information needs and resource requirements of pharmacists. Methods: We conducted qualitative inquiries with 14 pharmacists representing 6 clinical environments, and used the results of those inquiries to develop a model of pharmacists' pharmacogenomics information needs and resource requirements. Results: The inquiries identified 36 pharmacogenomics-specific and pharmacogenomics-related information needs that fit into four information needs themes: background information, patient information, medication information, and guidance information. The results of the inquiries informed a model of pharmacists' pharmacogenomics resource requirements, with 3 themes: structure of the resource, perceptions of the resource, and perceptions of the information. Conclusion: Responses suggest that pharmacists anticipate an imminently growing role for pharmacogenomics in their practice. Participants value information from trust-worthy resources like FDA product labels, but struggle to find relevant information quickly in labels. Specific information needs include clinically relevant guidance about genotypes, phenotypes, and how to care for their patients with known genotypes. Information resources supporting the goal of incorporating complicated genetic information into medication decision-making goals should be well-designed and trustworthy. (C) 2015 Published by Elsevier Ireland Ltd.
机构:
Univ British Columbia, Dept Pediat, Fac Med, Vancouver, BC V6T 1W5, Canada
BC Childrens Hosp, Pharmaceut Outcomes Programme, Vancouver, BC, Canada
Child & Family Res Inst, Vancouver, BC, CanadaUniv British Columbia, Dept Pediat, Fac Med, Vancouver, BC V6T 1W5, Canada
Amstutz, U.
Carleton, B. C.
论文数: 0引用数: 0
h-index: 0
机构:
Univ British Columbia, Dept Pediat, Fac Med, Vancouver, BC V6T 1W5, Canada
BC Childrens Hosp, Pharmaceut Outcomes Programme, Vancouver, BC, Canada
Child & Family Res Inst, Vancouver, BC, CanadaUniv British Columbia, Dept Pediat, Fac Med, Vancouver, BC V6T 1W5, Canada
机构:
Columbia Univ, Dept Biomed Informat, New York, NY 10032 USAColumbia Univ, Dept Biomed Informat, New York, NY 10032 USA
Boland, Mary Regina
Rusanov, Alexander
论文数: 0引用数: 0
h-index: 0
机构:
Columbia Univ, Dept Anesthesiol, New York, NY 10032 USAColumbia Univ, Dept Biomed Informat, New York, NY 10032 USA
Rusanov, Alexander
So, Yat
论文数: 0引用数: 0
h-index: 0
机构:
Columbia Univ, Dept Biomed Informat, New York, NY 10032 USAColumbia Univ, Dept Biomed Informat, New York, NY 10032 USA
So, Yat
Lopez-Jimenez, Carlos
论文数: 0引用数: 0
h-index: 0
机构:
Columbia Univ, Div Cardiol, Dept Med, New York, NY 10032 USAColumbia Univ, Dept Biomed Informat, New York, NY 10032 USA
Lopez-Jimenez, Carlos
Busacca, Linda
论文数: 0引用数: 0
h-index: 0
机构:
Columbia Univ, Clin Trials Off, New York, NY 10032 USAColumbia Univ, Dept Biomed Informat, New York, NY 10032 USA
Busacca, Linda
Steinman, Richard C.
论文数: 0引用数: 0
h-index: 0
机构:
Columbia Univ, Div Cardiol, Dept Med, New York, NY 10032 USA
Columbia Univ, Irving Inst Clin & Translat Res, New York, NY 10032 USAColumbia Univ, Dept Biomed Informat, New York, NY 10032 USA
Steinman, Richard C.
Bakken, Suzanne
论文数: 0引用数: 0
h-index: 0
机构:
Columbia Univ, Dept Biomed Informat, New York, NY 10032 USA
Columbia Univ, Sch Nursing, New York, NY 10032 USA
Columbia Univ, Irving Inst Clin & Translat Res, New York, NY 10032 USAColumbia Univ, Dept Biomed Informat, New York, NY 10032 USA
Bakken, Suzanne
Bigger, J. Thomas
论文数: 0引用数: 0
h-index: 0
机构:
Columbia Univ, Div Cardiol, Dept Med, New York, NY 10032 USA
Columbia Univ, Irving Inst Clin & Translat Res, New York, NY 10032 USAColumbia Univ, Dept Biomed Informat, New York, NY 10032 USA
Bigger, J. Thomas
Weng, Chunhua
论文数: 0引用数: 0
h-index: 0
机构:
Columbia Univ, Dept Biomed Informat, New York, NY 10032 USA
Columbia Univ, Irving Inst Clin & Translat Res, New York, NY 10032 USAColumbia Univ, Dept Biomed Informat, New York, NY 10032 USA
机构:
RIKEN Ctr Integrat Med Sci, Lab Int Alliance Genom Res, Yokohama, Kanagawa, Japan
Acad Sinica, Inst Biomed Sci, Natl Ctr Genome Med, Taipei, Taiwan
China Med Univ, Sch Chinese Med, Taichung, TaiwanSt Jude Childrens Res Hosp, Dept Pharmaceut Sci, Memphis, TN 38105 USA
Lee, Ming Ta Michael
Iwuchukwu, Otito F.
论文数: 0引用数: 0
h-index: 0
机构:
Vanderbilt Univ, Dept Med, Nashville, TN USASt Jude Childrens Res Hosp, Dept Pharmaceut Sci, Memphis, TN 38105 USA
Iwuchukwu, Otito F.
Crews, Kristine R.
论文数: 0引用数: 0
h-index: 0
机构:
St Jude Childrens Res Hosp, Dept Pharmaceut Sci, Memphis, TN 38105 USASt Jude Childrens Res Hosp, Dept Pharmaceut Sci, Memphis, TN 38105 USA
Crews, Kristine R.
Scott, Stuart A.
论文数: 0引用数: 0
h-index: 0
机构:
Icahn Sch Med Mt Sinai, Dept Genet & Genom Sci, New York, NY USASt Jude Childrens Res Hosp, Dept Pharmaceut Sci, Memphis, TN 38105 USA
Scott, Stuart A.
Wadelius, Mia
论文数: 0引用数: 0
h-index: 0
机构:
Uppsala Univ, Dept Med Sci, Uppsala, SwedenSt Jude Childrens Res Hosp, Dept Pharmaceut Sci, Memphis, TN 38105 USA
Wadelius, Mia
Swen, Jesse J.
论文数: 0引用数: 0
h-index: 0
机构:
Leiden Univ, Med Ctr, Dept Clin Pharm & Toxicol, Leiden, NetherlandsSt Jude Childrens Res Hosp, Dept Pharmaceut Sci, Memphis, TN 38105 USA
Swen, Jesse J.
Tyndale, Rachel F.
论文数: 0引用数: 0
h-index: 0
机构:
Ctr Addict & Mental Hlth, Toronto, ON, Canada
Univ Toronto, Dept Psychiat, Toronto, ON, CanadaSt Jude Childrens Res Hosp, Dept Pharmaceut Sci, Memphis, TN 38105 USA
Tyndale, Rachel F.
Stein, C. Michael
论文数: 0引用数: 0
h-index: 0
机构:
Vanderbilt Univ, Dept Med, Nashville, TN USA
Vanderbilt Univ, Dept Pharmacol, Nashville, TN USASt Jude Childrens Res Hosp, Dept Pharmaceut Sci, Memphis, TN 38105 USA
Stein, C. Michael
Roden, Dan
论文数: 0引用数: 0
h-index: 0
机构:
Vanderbilt Univ, Dept Med, Nashville, TN USA
Vanderbilt Univ, Dept Pharmacol, Nashville, TN USASt Jude Childrens Res Hosp, Dept Pharmaceut Sci, Memphis, TN 38105 USA
Roden, Dan
Relling, Mary V.
论文数: 0引用数: 0
h-index: 0
机构:
St Jude Childrens Res Hosp, Dept Pharmaceut Sci, Memphis, TN 38105 USASt Jude Childrens Res Hosp, Dept Pharmaceut Sci, Memphis, TN 38105 USA
Relling, Mary V.
Williams, Marc S.
论文数: 0引用数: 0
h-index: 0
机构:
Geisinger Hlth Syst, Genom Med Inst, Danville, PA USASt Jude Childrens Res Hosp, Dept Pharmaceut Sci, Memphis, TN 38105 USA
Williams, Marc S.
Johnson, Samuel G.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Colorado, Dept Clin Pharm, Skaggs Sch Pharm & Pharmaceut Sci, Denver, CO 80202 USA
Kaiser Permanente Colorado, Clin Pharm Serv, Denver, CO USASt Jude Childrens Res Hosp, Dept Pharmaceut Sci, Memphis, TN 38105 USA
机构:
Univ British Columbia, Dept Pediat, Fac Med, Vancouver, BC V6T 1W5, Canada
BC Childrens Hosp, Pharmaceut Outcomes Programme, Vancouver, BC, Canada
Child & Family Res Inst, Vancouver, BC, CanadaUniv British Columbia, Dept Pediat, Fac Med, Vancouver, BC V6T 1W5, Canada
Amstutz, U.
Carleton, B. C.
论文数: 0引用数: 0
h-index: 0
机构:
Univ British Columbia, Dept Pediat, Fac Med, Vancouver, BC V6T 1W5, Canada
BC Childrens Hosp, Pharmaceut Outcomes Programme, Vancouver, BC, Canada
Child & Family Res Inst, Vancouver, BC, CanadaUniv British Columbia, Dept Pediat, Fac Med, Vancouver, BC V6T 1W5, Canada
机构:
Columbia Univ, Dept Biomed Informat, New York, NY 10032 USAColumbia Univ, Dept Biomed Informat, New York, NY 10032 USA
Boland, Mary Regina
Rusanov, Alexander
论文数: 0引用数: 0
h-index: 0
机构:
Columbia Univ, Dept Anesthesiol, New York, NY 10032 USAColumbia Univ, Dept Biomed Informat, New York, NY 10032 USA
Rusanov, Alexander
So, Yat
论文数: 0引用数: 0
h-index: 0
机构:
Columbia Univ, Dept Biomed Informat, New York, NY 10032 USAColumbia Univ, Dept Biomed Informat, New York, NY 10032 USA
So, Yat
Lopez-Jimenez, Carlos
论文数: 0引用数: 0
h-index: 0
机构:
Columbia Univ, Div Cardiol, Dept Med, New York, NY 10032 USAColumbia Univ, Dept Biomed Informat, New York, NY 10032 USA
Lopez-Jimenez, Carlos
Busacca, Linda
论文数: 0引用数: 0
h-index: 0
机构:
Columbia Univ, Clin Trials Off, New York, NY 10032 USAColumbia Univ, Dept Biomed Informat, New York, NY 10032 USA
Busacca, Linda
Steinman, Richard C.
论文数: 0引用数: 0
h-index: 0
机构:
Columbia Univ, Div Cardiol, Dept Med, New York, NY 10032 USA
Columbia Univ, Irving Inst Clin & Translat Res, New York, NY 10032 USAColumbia Univ, Dept Biomed Informat, New York, NY 10032 USA
Steinman, Richard C.
Bakken, Suzanne
论文数: 0引用数: 0
h-index: 0
机构:
Columbia Univ, Dept Biomed Informat, New York, NY 10032 USA
Columbia Univ, Sch Nursing, New York, NY 10032 USA
Columbia Univ, Irving Inst Clin & Translat Res, New York, NY 10032 USAColumbia Univ, Dept Biomed Informat, New York, NY 10032 USA
Bakken, Suzanne
Bigger, J. Thomas
论文数: 0引用数: 0
h-index: 0
机构:
Columbia Univ, Div Cardiol, Dept Med, New York, NY 10032 USA
Columbia Univ, Irving Inst Clin & Translat Res, New York, NY 10032 USAColumbia Univ, Dept Biomed Informat, New York, NY 10032 USA
Bigger, J. Thomas
Weng, Chunhua
论文数: 0引用数: 0
h-index: 0
机构:
Columbia Univ, Dept Biomed Informat, New York, NY 10032 USA
Columbia Univ, Irving Inst Clin & Translat Res, New York, NY 10032 USAColumbia Univ, Dept Biomed Informat, New York, NY 10032 USA
机构:
RIKEN Ctr Integrat Med Sci, Lab Int Alliance Genom Res, Yokohama, Kanagawa, Japan
Acad Sinica, Inst Biomed Sci, Natl Ctr Genome Med, Taipei, Taiwan
China Med Univ, Sch Chinese Med, Taichung, TaiwanSt Jude Childrens Res Hosp, Dept Pharmaceut Sci, Memphis, TN 38105 USA
Lee, Ming Ta Michael
Iwuchukwu, Otito F.
论文数: 0引用数: 0
h-index: 0
机构:
Vanderbilt Univ, Dept Med, Nashville, TN USASt Jude Childrens Res Hosp, Dept Pharmaceut Sci, Memphis, TN 38105 USA
Iwuchukwu, Otito F.
Crews, Kristine R.
论文数: 0引用数: 0
h-index: 0
机构:
St Jude Childrens Res Hosp, Dept Pharmaceut Sci, Memphis, TN 38105 USASt Jude Childrens Res Hosp, Dept Pharmaceut Sci, Memphis, TN 38105 USA
Crews, Kristine R.
Scott, Stuart A.
论文数: 0引用数: 0
h-index: 0
机构:
Icahn Sch Med Mt Sinai, Dept Genet & Genom Sci, New York, NY USASt Jude Childrens Res Hosp, Dept Pharmaceut Sci, Memphis, TN 38105 USA
Scott, Stuart A.
Wadelius, Mia
论文数: 0引用数: 0
h-index: 0
机构:
Uppsala Univ, Dept Med Sci, Uppsala, SwedenSt Jude Childrens Res Hosp, Dept Pharmaceut Sci, Memphis, TN 38105 USA
Wadelius, Mia
Swen, Jesse J.
论文数: 0引用数: 0
h-index: 0
机构:
Leiden Univ, Med Ctr, Dept Clin Pharm & Toxicol, Leiden, NetherlandsSt Jude Childrens Res Hosp, Dept Pharmaceut Sci, Memphis, TN 38105 USA
Swen, Jesse J.
Tyndale, Rachel F.
论文数: 0引用数: 0
h-index: 0
机构:
Ctr Addict & Mental Hlth, Toronto, ON, Canada
Univ Toronto, Dept Psychiat, Toronto, ON, CanadaSt Jude Childrens Res Hosp, Dept Pharmaceut Sci, Memphis, TN 38105 USA
Tyndale, Rachel F.
Stein, C. Michael
论文数: 0引用数: 0
h-index: 0
机构:
Vanderbilt Univ, Dept Med, Nashville, TN USA
Vanderbilt Univ, Dept Pharmacol, Nashville, TN USASt Jude Childrens Res Hosp, Dept Pharmaceut Sci, Memphis, TN 38105 USA
Stein, C. Michael
Roden, Dan
论文数: 0引用数: 0
h-index: 0
机构:
Vanderbilt Univ, Dept Med, Nashville, TN USA
Vanderbilt Univ, Dept Pharmacol, Nashville, TN USASt Jude Childrens Res Hosp, Dept Pharmaceut Sci, Memphis, TN 38105 USA
Roden, Dan
Relling, Mary V.
论文数: 0引用数: 0
h-index: 0
机构:
St Jude Childrens Res Hosp, Dept Pharmaceut Sci, Memphis, TN 38105 USASt Jude Childrens Res Hosp, Dept Pharmaceut Sci, Memphis, TN 38105 USA
Relling, Mary V.
Williams, Marc S.
论文数: 0引用数: 0
h-index: 0
机构:
Geisinger Hlth Syst, Genom Med Inst, Danville, PA USASt Jude Childrens Res Hosp, Dept Pharmaceut Sci, Memphis, TN 38105 USA
Williams, Marc S.
Johnson, Samuel G.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Colorado, Dept Clin Pharm, Skaggs Sch Pharm & Pharmaceut Sci, Denver, CO 80202 USA
Kaiser Permanente Colorado, Clin Pharm Serv, Denver, CO USASt Jude Childrens Res Hosp, Dept Pharmaceut Sci, Memphis, TN 38105 USA