Scientific Challenges and Implementation Barriers to Translation of Pharmacogenomics in Clinical Practice
Table 2
Practical issues involved in clinical implementation of pharmacogenomic testing in healthcare system.
Issue
Challenge
Test performance
Reasonable turnaround time for delivery of test result
Interpretation of result
Not a straightforward normal versus abnormal interpretation Education of clinicians is crucial to proper use
Education of health professionals
Variable time and content devoted to educating future clinicians within health professional schools Overwhelming information for most current practicing clinicians
Cost reimbursement by payers
Almost exclusively based on proof of cost-effectiveness
Acceptance by clinicians
Potential additional workload Potential legal liability Health disparity concern for patient
Acceptance by patients
Privacy and discrimination concern Health disparity concern Ownership of genetic information