TY - GEN
T1 - Clinical decision support and primary care acceptance of genomic medicine
AU - Chase, Dian A.
AU - Baron, Sherry
AU - Ash, Joan
N1 - Funding Information:
This work was partially supported by CDC/NIOSH Contract 200-2015-61837 as part of NORA project #927ZLDN. We would like to gratefully acknowledge the contributions of Margaret S. Filios, M.Sc, R.N., Stacey Marovich, M.S., M.H.I., Jane Wiesen, Ph.D., and Genevieve B. Luensman, Ph.D. to this work.
Publisher Copyright:
© 2017 International Medical Informatics Association (IMIA) and IOS Press.
PY - 2017
Y1 - 2017
N2 - 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 signficiant barriers. With more evidence and the development of effective CDS, however, there is potential for turning each of the barriers into facilitators.
AB - 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 signficiant barriers. With more evidence and the development of effective CDS, however, there is potential for turning each of the barriers into facilitators.
KW - Clinical
KW - Decision support systems
KW - Genomics
KW - Precision medicine
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U2 - 10.3233/978-1-61499-830-3-700
DO - 10.3233/978-1-61499-830-3-700
M3 - Conference contribution
C2 - 29295188
AN - SCOPUS:85040514012
T3 - Studies in Health Technology and Informatics
SP - 700
EP - 703
BT - MEDINFO 2017
A2 - Gundlapalli, Adi V.
A2 - Marie-Christine, Jaulent
A2 - Dongsheng, Zhao
PB - IOS Press BV
T2 - 16th World Congress of Medical and Health Informatics: Precision Healthcare through Informatics, MedInfo 2017
Y2 - 21 August 2017 through 25 August 2017
ER -