>
> Can anyone help explain why certain information important to
> successful
> drug therapy is not incorporated into medical practice?
When evidence is not accepted there are often one of the following two
problems,(or both)
1. No one knows. For example, you cite a reference from Pharmacogenomics
(?), I bet you could survey everyone in our FP dept to see if they even knew
that journal existed, and the answer would be no for most if not all.
2. No one cares. Is it clinically significant? Cost-effectiveness of a
therapy can often incite reactionary behavior in some. However, if you have
data that patients feel better, live longer, or call their doctor less with
complaints, then it is more likely to turn heads.
I sympathize with your question. I am sure others on this list can give
many other valuable thoughts. Try speaking into the language and direction
of those whose behavior you seek to change.
Dan Sontheimer
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