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Perspective

Clinical Decision Support for Personalized Medicine: An Opportunity for Pharmacist–Physician Collaboration

Pages 441-450 | Published online: 18 Jun 2012
 

Abstract

Pharmacogenomics has significant potential to improve the efficacy and safety of medication therapy, but it requires new expertise and adds a new layer of complexity for all healthcare professionals. Pharmacists and pharmacy management systems can play a leading role in providing clinical decision support for the use and interpretation of pharmacogenomic tests. To serve this role effectively, pharmacists will need to expand their expertise in the emerging field of clinical pharmacogenomics. Pharmacy-based clinical programs can expedite the use of pharmacogenomic testing, help physicians interpret the test results and identify future medication risks associated with the patient‘s phenotype. Over time, some of these functions can be embedded in clinical decision support systems as part of the broader automation of the healthcare system.

Acknowledgements

The author thanks L Castle, W Dreitlein and L Nichols for their helpful comments on earlier drafts of this manuscript; and R Verbrugge for his assistance with manuscript development.

Financial & competing interests disclosure

The author is employed by Express Scripts, which offers clinical pharmacogenomic testing programs for its clients. The author has no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed.

No funded writing assistance was utilized in the production of this manuscript.

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