Knowledge, attitudes and practices of Egyptian healthcare professionals toward therapeutic drug monitoring service as a principal component of personalized medicine

Per Med. 2022 Nov;19(6):509-521. doi: 10.2217/pme-2022-0031. Epub 2022 Oct 26.

Abstract

Aim: To assess pharmacists' and physicians' knowledge, attitudes and practices toward therapeutic drug monitoring (TDM) service at the Children's Cancer Hospital Egypt 57357. Materials & methods: This was a single-site cross-sectional study where all practicing pharmacists and physicians were eligible to participate. Results: A statistically significant difference in the knowledge scores between pharmacists and physicians (p = 0.022) was found. In general, attitudes toward TDM among pharmacists and physicians were positive. Regarding practices, pharmacists were more likely than physicians to agree or strongly agree that they have studied some scientific references on TDM (p = 0.034), but more physicians recommend the TDM service (p = 0.046). Conclusion: A multidisciplinary educational program in Egypt for TDM for both medicine and pharmacy staff will improve interprofessional collaboration in the clinical setting, leading to better personalized medication management.

Keywords: Health Care KAP; cancer care; developing countries; pediatric oncology; personalised medication management; personalized medicine; pharmacists; physicians; precision medicine; therapeutic drug monitoring.

Plain language summary

The objective of the present survey was to evaluate the knowledge, attitudes and practices of pharmacists and physicians toward therapeutic drug monitoring (TDM) services at the Children's Cancer Hospital Egypt 57357. TDM is defined as ‘measuring the amount of specific drugs in patients’ blood to ensure that the concentrations of administered drugs are both effective and safe’. A single-centered study was conducted at the CCHE where all pharmacists and physicians participated. There was a remarkable difference in the knowledge scores between pharmacists and physicians. Generally, both pharmacists and physicians demonstrated positive attitudes toward TDM. In real-life practice, pharmacists were more likely than physicians to agree that they had scientific evidence about TDM. Multidisciplinary educational programs for TDM among physicians and pharmacists would improve interprofessional collaboration for the benefit of patients in Egypt.

MeSH terms

  • Attitude of Health Personnel*
  • Child
  • Cooperative Behavior
  • Cross-Sectional Studies
  • Drug Monitoring
  • Egypt
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Precision Medicine