Clinical Decision Support and Primary Care Acceptance of Genomic Medicine

Details

• Personal Author:
  Ash JS ; Baron, Sherry L. ; Chase DA
• Description:
  Clinical decision support systems (CDS) have an important role in the implementation of precision medicine, particularly for pharmacogenomics. This study examines potential factors for their acceptance by primary care clinicians. For this qualitative study we purposively selected five U.S. primary care sites with a variety of sizes, electronic health record vendors, and patients. We interviewed an average of seven clinicians per site. Clinicians placed a low priority on incorporating pharmacogenomics into practice. Other themes included the potential of precision medicine, clinician unfamiliarity with genomics, minimal evidence for primary care uses, additional costs and time burdens, workload, and a need to first successfully complete other electronic health record interventions. This study outlines issues in implementing primary care precision medicine and the role for genomic CDS. Currently there are significant barriers. With more evidence and the development of effective CDS, however, there is potential for turning each of the barriers into facilitators. [Description provided by NIOSH]
• Subjects:
  Decision Making Diagnosis Occupational Health Safety
• Keywords:
  Author Keywords: Decision Support Systems Clinical Clinical Diagnosis Decision Making Electronic Health Records Genomics Pharmacogenomics Precision Medicine Qualitative Analysis
• ISBN:
  9781614998297
• ISSN:
  0926-9630
• Publisher:
  IOS Press
• Document Type:
  Text
• Funding:
  Contract
• Genre:
  Proceedings
• Place as Subject:
  New York ; Oregon ; OSHA Region 10 ; OSHA Region 2
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  245
• NIOSHTIC Number:
  nn:20068970
• Citation:
  MEDINFO 2017: precision healthcare through informatics. Proceedings of the 16th World Congress on Medical and Health Informatics, August 21-25, 2017, Hangzhou, China. Gundlapalli AV, Jaulent M-C, Zhao D, eds. Studies in Health Technology and Informatics. Amsterdam, Netherlands: IOS Press, 2017 Aug; 245:700-703
• Contact Point Address:
  Dian Chase, Oregon Health & Science University, 3455 S.W. Veterans Hospital Road, Portland, Oregon, USA, 97230
• Email:
  chased@ohsu.edu
• Editor(s):
  Gundlapalli AV; Jaulent M-C; Zhao D
• Federal Fiscal Year:
  2017
• Peer Reviewed:
  True
• Source Full Name:
  MEDINFO 2017: precision healthcare through informatics. Proceedings of the 16th World Congress on Medical and Health Informatics, August 21-25, 2017, Hangzhou, China. Studies in Health Technology and Informatics
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:4724bdc53ccc433a3e0f982debe592b669f511dd4075dc304f0249216c24d4c2db52ae32bd25eca0932a0a83097300992732d749316a1e545b577c8ff0a765ab
• Download URL:
  https://stacks.cdc.gov/view/cdc/207527/cdc_207527_DS1.pdf
• File Type:
  [PDF - 330.97 KB ]