Meyers Primary Care Institute
Genetics and Genomics | Health Services Administration | Health Services Research | Medical Genetics | Medical Pharmacology | Neoplasms | Pharmacology
Genomic tests are the fastest growing sector in medicine and medical science, yet there remains a dearth of research on access to pharmacogenomic tests and medications. The objective of this study is to explore providers' and patients' experiences and views on test access as well as strategies used for gaining access. We interviewed clinicians who prescribed medications that should be guided by pharmacogenomic testing and patients who received those prescriptions. We organized the themes into the four dimensions suggested by the World Health Organization framework on access to medications and health technologies. Guideline-recommended pharmacogenomic tests for cancer care are generally available, although the timeliness of return of test results is sometimes suboptimal. Accessibility of pharmacogenomic tests is made challenging by the process of ordering pharmacogenomic tests, which is time-consuming. Affordability is a barrier to some patients as expressed by both providers and patients, who noted that the cost of pharmacogenomic tests and medications is high. Acceptability of the tests is high as both providers and patients view the tests positively. Understanding challenges to accessing pharmacogenomic tests will allow policymakers to develop policies that streamline access to genomics-based technologies to improve population health.
access, cancer, patients, pharmacogenomic tests, providers
Rights and Permissions
© 2017 by the authors. Licensee MDPI, Basel, Switzerland. This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
DOI of Published Version
J Pers Med. 2017 Nov 15;7(4). pii: jpm7040017. doi: 10.3390/jpm7040017. Link to article on publisher's site
Journal of personalized medicine
Chen Wu, Ann; Mazor, Kathleen M.; Ceccarelli, Rachel; Loomer, Stephanie; and Lu, Christine Y., "Access to Guideline-Recommended Pharmacogenomic Tests for Cancer Treatments: Experience of Providers and Patients" (2017). Open Access Articles. 3308.
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.
Genetics and Genomics Commons, Health Services Administration Commons, Health Services Research Commons, Medical Genetics Commons, Medical Pharmacology Commons, Neoplasms Commons, Pharmacology Commons