迈向精准医学在精神科护理服务中的整合:评估临床指南对药物相关不良事件的影响

IF 6.5 2区 管理学 Q1 MANAGEMENT
Jingwen Yang, Anant Mishra, Kingshuk K. Sinha
{"title":"迈向精准医学在精神科护理服务中的整合:评估临床指南对药物相关不良事件的影响","authors":"Jingwen Yang,&nbsp;Anant Mishra,&nbsp;Kingshuk K. Sinha","doi":"10.1002/joom.1353","DOIUrl":null,"url":null,"abstract":"<p>Despite the immense potential of precision medicine to revolutionize healthcare, its integration into routine clinical practice remains a significant challenge. This study investigates the impact of Clinical Pharmacogenetics Implementation Consortium (CPIC) guidelines, which provide synthesized evidence and pharmacogenetics-based drug dosing recommendations, on the delivery of psychiatric care enabled by precision medicine. Specifically, we conduct a comprehensive evaluation of the effect of CPIC guidelines on serious drug-related adverse events and explore how drug characteristics related to therapeutic uncertainty, namely drug age and drug label warning, moderate this effect. Our findings suggest that the availability of CPIC guidelines is associated with almost a 25% decrease in serious drug-related adverse events in the context of psychiatric care delivery enabled by precision medicine. Furthermore, we find that the presence of drug label warning, as FDA-endorsed negative news on pharmacogenetics-related drug use, enhances the effect of CPIC guidelines and is associated with a further decrease in serious drug-related adverse events. Post hoc analysis reveals that CPIC guidelines with high strength of evidence are associated with a significant decrease in serious drug-related adverse events, while no such effect is observed for guidelines with low strength of evidence. These findings contribute to the nascent literature on integrating precision medicine into routine clinical practice, highlighting the consequential role of clinical guidelines in improving the effectiveness of psychiatric care delivery for individual patients enabled by precision medicine. In addition, by demonstrating how the development and implementation of robust clinical guidelines are central to minimizing serious drug-related adverse events, the findings have policy implications for minimizing the downside risks of psychiatric care delivery.</p>","PeriodicalId":51097,"journal":{"name":"Journal of Operations Management","volume":"71 3","pages":"393-414"},"PeriodicalIF":6.5000,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/joom.1353","citationCount":"0","resultStr":"{\"title\":\"Towards the Integration of Precision Medicine in Psychiatric Care Delivery: Evaluating the Impact of Clinical Guidelines on Drug-Related Adverse Events\",\"authors\":\"Jingwen Yang,&nbsp;Anant Mishra,&nbsp;Kingshuk K. Sinha\",\"doi\":\"10.1002/joom.1353\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p>Despite the immense potential of precision medicine to revolutionize healthcare, its integration into routine clinical practice remains a significant challenge. This study investigates the impact of Clinical Pharmacogenetics Implementation Consortium (CPIC) guidelines, which provide synthesized evidence and pharmacogenetics-based drug dosing recommendations, on the delivery of psychiatric care enabled by precision medicine. Specifically, we conduct a comprehensive evaluation of the effect of CPIC guidelines on serious drug-related adverse events and explore how drug characteristics related to therapeutic uncertainty, namely drug age and drug label warning, moderate this effect. Our findings suggest that the availability of CPIC guidelines is associated with almost a 25% decrease in serious drug-related adverse events in the context of psychiatric care delivery enabled by precision medicine. Furthermore, we find that the presence of drug label warning, as FDA-endorsed negative news on pharmacogenetics-related drug use, enhances the effect of CPIC guidelines and is associated with a further decrease in serious drug-related adverse events. Post hoc analysis reveals that CPIC guidelines with high strength of evidence are associated with a significant decrease in serious drug-related adverse events, while no such effect is observed for guidelines with low strength of evidence. These findings contribute to the nascent literature on integrating precision medicine into routine clinical practice, highlighting the consequential role of clinical guidelines in improving the effectiveness of psychiatric care delivery for individual patients enabled by precision medicine. In addition, by demonstrating how the development and implementation of robust clinical guidelines are central to minimizing serious drug-related adverse events, the findings have policy implications for minimizing the downside risks of psychiatric care delivery.</p>\",\"PeriodicalId\":51097,\"journal\":{\"name\":\"Journal of Operations Management\",\"volume\":\"71 3\",\"pages\":\"393-414\"},\"PeriodicalIF\":6.5000,\"publicationDate\":\"2025-03-11\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1002/joom.1353\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Operations Management\",\"FirstCategoryId\":\"91\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/joom.1353\",\"RegionNum\":2,\"RegionCategory\":\"管理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"MANAGEMENT\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Operations Management","FirstCategoryId":"91","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/joom.1353","RegionNum":2,"RegionCategory":"管理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"MANAGEMENT","Score":null,"Total":0}
引用次数: 0

摘要

尽管精准医疗具有革新医疗保健的巨大潜力,但将其整合到常规临床实践中仍然是一个重大挑战。本研究调查了临床药物遗传学实施联盟(CPIC)指南的影响,该指南提供了综合证据和基于药物遗传学的药物剂量建议,对精确医学实现的精神病学护理的提供。具体而言,我们对CPIC指南对严重药物相关不良事件的影响进行了综合评价,并探讨了与治疗不确定性相关的药物特征(即药物年龄和药物标签警告)如何调节这种影响。我们的研究结果表明,CPIC指南的可用性与精确医学使精神科护理提供的背景下严重药物相关不良事件减少近25%有关。此外,我们发现药物标签警告的存在,作为fda认可的药物遗传学相关药物使用的负面新闻,增强了CPIC指南的效果,并与严重药物相关不良事件的进一步减少有关。事后分析显示,证据强度高的CPIC指南与严重药物相关不良事件的显著减少相关,而证据强度低的指南没有观察到这种影响。这些发现有助于将精准医学整合到常规临床实践中的新兴文献,强调了临床指南在提高精准医学为个体患者提供精神病学护理的有效性方面的重要作用。此外,通过展示如何制定和实施强有力的临床指南是减少严重药物相关不良事件的核心,研究结果对最小化精神病学护理提供的下行风险具有政策意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Towards the Integration of Precision Medicine in Psychiatric Care Delivery: Evaluating the Impact of Clinical Guidelines on Drug-Related Adverse Events

Towards the Integration of Precision Medicine in Psychiatric Care Delivery: Evaluating the Impact of Clinical Guidelines on Drug-Related Adverse Events

Despite the immense potential of precision medicine to revolutionize healthcare, its integration into routine clinical practice remains a significant challenge. This study investigates the impact of Clinical Pharmacogenetics Implementation Consortium (CPIC) guidelines, which provide synthesized evidence and pharmacogenetics-based drug dosing recommendations, on the delivery of psychiatric care enabled by precision medicine. Specifically, we conduct a comprehensive evaluation of the effect of CPIC guidelines on serious drug-related adverse events and explore how drug characteristics related to therapeutic uncertainty, namely drug age and drug label warning, moderate this effect. Our findings suggest that the availability of CPIC guidelines is associated with almost a 25% decrease in serious drug-related adverse events in the context of psychiatric care delivery enabled by precision medicine. Furthermore, we find that the presence of drug label warning, as FDA-endorsed negative news on pharmacogenetics-related drug use, enhances the effect of CPIC guidelines and is associated with a further decrease in serious drug-related adverse events. Post hoc analysis reveals that CPIC guidelines with high strength of evidence are associated with a significant decrease in serious drug-related adverse events, while no such effect is observed for guidelines with low strength of evidence. These findings contribute to the nascent literature on integrating precision medicine into routine clinical practice, highlighting the consequential role of clinical guidelines in improving the effectiveness of psychiatric care delivery for individual patients enabled by precision medicine. In addition, by demonstrating how the development and implementation of robust clinical guidelines are central to minimizing serious drug-related adverse events, the findings have policy implications for minimizing the downside risks of psychiatric care delivery.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Journal of Operations Management
Journal of Operations Management 管理科学-运筹学与管理科学
CiteScore
11.00
自引率
15.40%
发文量
62
审稿时长
24 months
期刊介绍: The Journal of Operations Management (JOM) is a leading academic publication dedicated to advancing the field of operations management (OM) through rigorous and original research. The journal's primary audience is the academic community, although it also values contributions that attract the interest of practitioners. However, it does not publish articles that are primarily aimed at practitioners, as academic relevance is a fundamental requirement. JOM focuses on the management aspects of various types of operations, including manufacturing, service, and supply chain operations. The journal's scope is broad, covering both profit-oriented and non-profit organizations. The core criterion for publication is that the research question must be centered around operations management, rather than merely using operations as a context. For instance, a study on charismatic leadership in a manufacturing setting would only be within JOM's scope if it directly relates to the management of operations; the mere setting of the study is not enough. Published papers in JOM are expected to address real-world operational questions and challenges. While not all research must be driven by practical concerns, there must be a credible link to practice that is considered from the outset of the research, not as an afterthought. Authors are cautioned against assuming that academic knowledge can be easily translated into practical applications without proper justification. JOM's articles are abstracted and indexed by several prestigious databases and services, including Engineering Information, Inc.; Executive Sciences Institute; INSPEC; International Abstracts in Operations Research; Cambridge Scientific Abstracts; SciSearch/Science Citation Index; CompuMath Citation Index; Current Contents/Engineering, Computing & Technology; Information Access Company; and Social Sciences Citation Index. This ensures that the journal's research is widely accessible and recognized within the academic and professional communities.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信