메뉴 건너뛰기




Volumn 164, Issue 8, 2016, Pages 513-522

Consumer perceptions of interactions with primary care providers after direct-to-consumer personal genomic testing

(25)  Van Der Wouden, Cathelijne H a   Carere, Deanna Alexis b,f   Maitland Van Der Zee, Anke H a   Ruffin, MacK T c,d   Roberts, J Scott d,g   Green, Robert C e   Krier, Joel B h   Helm, Margaret H h   Lehmann, Lisa S h   Kraft, Peter f   Le, Lan Q g   Ostergren, Jenny g   Uhlmann, Wendy R g   Couper, Mick P g   Mountain, Joanna L i   Kiefer, Amy K i   Braunstein, Glenn D j   Crawford, Scott D k   Cupples, L Adrienne l   Chen, Clara A l   more..


Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; COHORT ANALYSIS; CONSUMER; CONSUMER ATTITUDE; CONSUMER PERCEPTION; DIRECT TO CONSUMER PERSONAL GENOMIC TESTING; DOCTOR PATIENT RELATION; FEMALE; FOLLOW UP; GENERAL PRACTITIONER; GENETIC DISORDER; GENETIC RISK; GENETIC SCREENING; HEALTH CARE SURVEY; HUMAN; LONGITUDINAL STUDY; MAJOR CLINICAL STUDY; MALE; ONLINE SYSTEM; PHARMACOGENOMICS; PRIORITY JOURNAL; PROSPECTIVE STUDY; GENOMICS; HEALTH PERSONNEL ATTITUDE; MIDDLE AGED; PERCEPTION; PSYCHOLOGY; SCREENING TEST; UNITED STATES; YOUNG ADULT;

EID: 84964547509     PISSN: 00034819     EISSN: 15393704     Source Type: Journal    
DOI: 10.7326/M15-0995     Document Type: Article
Times cited : (82)

References (42)
  • 1
    • 69549122599 scopus 로고    scopus 로고
    • Direct to consumer genetic testing: Avoiding a culture war
    • [PMID: 19606051]
    • Evans JP, Green RC. Direct to consumer genetic testing: avoiding a culture war. Genet Med. 2009; 11:568-9. [PMID: 19606051] doi:10.1097/GIM.0b013e3181afbaed
    • (2009) Genet Med. , vol.11 , pp. 568-569
    • Evans, J.P.1    Green, R.C.2
  • 2
    • 79959375895 scopus 로고    scopus 로고
    • The future of direct-to-consumer clinical genetic tests
    • [PMID: 21629275]
    • Frueh FW, Greely HT, Green RC, Hogarth S, Siegel S. The future of direct-to-consumer clinical genetic tests. Nat Rev Genet. 2011; 12: 511-5. [PMID: 21629275] doi:10.1038/nrg3026
    • (2011) Nat Rev Genet. , vol.12 , pp. 511-515
    • Frueh, F.W.1    Greely, H.T.2    Green, R.C.3    Hogarth, S.4    Siegel, S.5
  • 3
    • 84893573654 scopus 로고    scopus 로고
    • Regulation: The FDA is overcautious on consumer genomics
    • [PMID: 24436984]
    • Green RC, Farahany NA. Regulation: the FDA is overcautious on consumer genomics. Nature. 2014; 505:286-7. [PMID: 24436984]
    • (2014) Nature. , vol.505 , pp. 286-287
    • Green, R.C.1    Farahany, N.A.2
  • 4
    • 41149120561 scopus 로고    scopus 로고
    • A critical appraisal of the scientific basis of commercial genomic profiles used to assess health risks and personalize health interventions
    • [PMID: 18319070]
    • Janssens AC, Gwinn M, Bradley LA, Oostra BA, van Duijn CM, Khoury MJ. A critical appraisal of the scientific basis of commercial genomic profiles used to assess health risks and personalize health interventions. Am J Hum Genet. 2008; 82:593-9. [PMID: 18319070] doi:10.1016/j.ajhg.2007.12.020
    • (2008) Am J Hum Genet. , vol.82 , pp. 593-599
    • Janssens, A.C.1    Gwinn, M.2    Bradley, L.A.3    Oostra, B.A.4    Van Duijn, C.M.5    Khoury, M.J.6
  • 5
    • 40949126939 scopus 로고    scopus 로고
    • Genomic profiles for disease risk: Predictive or premature?
    • [PMID: 18349097]
    • Offit K. Genomic profiles for disease risk: predictive or premature? JAMA. 2008; 299:1353-5. [PMID: 18349097] doi:10.1001/jama.299 .11.1353
    • (2008) JAMA. , vol.299 , pp. 1353-1355
    • Offit, K.1
  • 6
    • 79953881294 scopus 로고    scopus 로고
    • An epidemiological perspective on the future of direct-to-consumer personal genome testing
    • [PMID: 21092344]
    • Janssens AC, van Duijn CM. An epidemiological perspective on the future of direct-to-consumer personal genome testing. Investig Genet. 2010; 1:10. [PMID: 21092344] doi:10.1186/2041-2223-1-10
    • (2010) Investig Genet. , vol.1 , pp. 10
    • Janssens, A.C.1    Van Duijn, C.M.2
  • 7
    • 38049130261 scopus 로고    scopus 로고
    • Letting the genome out of the bottle-will we get our wish?
    • [PMID: 18184955]
    • Hunter DJ, Khoury MJ, Drazen JM. Letting the genome out of the bottle-will we get our wish? N Engl J Med. 2008; 358:105-7. [PMID: 18184955] doi:10.1056/NEJMp0708162
    • (2008) N Engl J Med. , vol.358 , pp. 105-107
    • Hunter, D.J.1    Khoury, M.J.2    Drazen, J.M.3
  • 8
    • 77949643459 scopus 로고    scopus 로고
    • Direct-to-consumer personal genome testing: Ethical and regulatory issues that arise from wanting to 'know' your DNA
    • [PMID: 20446967]
    • Samuel GN, Jordens CF, Kerridge I. Direct-to-consumer personal genome testing: ethical and regulatory issues that arise from wanting to 'know' your DNA. Intern Med J. 2010; 40:220-4. [PMID: 20446967] doi:10.1111/j.1445-5994.2010.02190.x
    • (2010) Intern Med J. , vol.40 , pp. 220-224
    • Samuel, G.N.1    Jordens, C.F.2    Kerridge, I.3
  • 9
    • 57449092873 scopus 로고    scopus 로고
    • An unwelcome side effect of direct-toconsumer personal genome testing: Raiding the medical commons
    • [PMID: 19066388]
    • McGuire AL, Burke W. An unwelcome side effect of direct-toconsumer personal genome testing: raiding the medical commons. JAMA.2008; 300:2669-71. [PMID: 19066388] doi:10.1001/jama.2008 .803
    • (2008) JAMA. , vol.300 , pp. 2669-2671
    • McGuire, A.L.1    Burke, W.2
  • 10
    • 84889258339 scopus 로고    scopus 로고
    • Characteristics of genomic test consumers who spontaneously share results with their health care provider
    • [PMID: 23384116]
    • Darst BF, Madlensky L, Schork NJ, Topol EJ, Bloss CS. Characteristics of genomic test consumers who spontaneously share results with their health care provider. Health Commun. 2014; 29:105-8. [PMID: 23384116] doi:10.1080/10410236.2012.717216
    • (2014) Health Commun. , vol.29 , pp. 105-108
    • Darst, B.F.1    Madlensky, L.2    Schork, N.J.3    Topol, E.J.4    Bloss, C.S.5
  • 11
    • 84863619019 scopus 로고    scopus 로고
    • Risky business: Risk perception and the use of medical services among customers of DTC personal genetic testing
    • [PMID: 22278220]
    • Kaufman DJ, Bollinger JM, Dvoskin RL, Scott JA. Risky business: risk perception and the use of medical services among customers of DTC personal genetic testing. J Genet Couns. 2012; 21:413-22. [PMID: 22278220] doi:10.1007/s10897-012-9483-0
    • (2012) J Genet Couns. , vol.21 , pp. 413-422
    • Kaufman, D.J.1    Bollinger, J.M.2    Dvoskin, R.L.3    Scott, J.A.4
  • 12
    • 70449719034 scopus 로고    scopus 로고
    • Social networkers' attitudes toward direct-to-consumer personal genome testing
    • [PMID: 19998099]
    • McGuire AL, Diaz CM, Wang T, Hilsenbeck SG. Social networkers' attitudes toward direct-to-consumer personal genome testing. Am J Bioeth. 2009; 9:3-10. [PMID: 19998099] doi:10.1080/1526 5160902928209
    • (2009) Am J Bioeth. , vol.9 , pp. 3-10
    • McGuire, A.L.1    Diaz, C.M.2    Wang, T.3    Hilsenbeck, S.G.4
  • 13
    • 84866358640 scopus 로고    scopus 로고
    • Incorporating direct-to-consumer genomic information into patient care: Attitudes and experiences of primary care physicians
    • [PMID: 23795206]
    • Bernhardt BA, Zayac C, Gordon ES, Wawak L, Pyeritz RE, Gollust SE. Incorporating direct-to-consumer genomic information into patient care: attitudes and experiences of primary care physicians. Per Med. 2012; 9:683-692. [PMID: 23795206]
    • (2012) Per Med. , vol.9 , pp. 683-692
    • Bernhardt, B.A.1    Zayac, C.2    Gordon, E.S.3    Wawak, L.4    Pyeritz, R.E.5    Gollust, S.E.6
  • 14
    • 84858031871 scopus 로고    scopus 로고
    • Primary care physicians' awareness, experience and opinions of direct-to-consumer genetic testing
    • [PMID: 21769569]
    • Powell KP, Cogswell WA, Christianson CA, Dave G, Verma A, Eubanks S, et al. Primary care physicians' awareness, experience and opinions of direct-to-consumer genetic testing. J Genet Couns. 2012; 21:113-26. [PMID: 21769569] doi:10.1007/s10897-011-9390-9
    • (2012) J Genet Couns. , vol.21 , pp. 113-126
    • Powell, K.P.1    Cogswell, W.A.2    Christianson, C.A.3    Dave, G.4    Verma, A.5    Eubanks, S.6
  • 15
    • 84879844869 scopus 로고    scopus 로고
    • Direct-toconsumer genomic testing from the perspective of the health professional: A systematic review of the literature
    • [PMID: 23322235]
    • Goldsmith L, Jackson L, O'Connor A, Skirton H. Direct-toconsumer genomic testing from the perspective of the health professional: a systematic review of the literature. J Community Genet. 2013; 4:169-80. [PMID: 23322235] doi:10.1007/s12687-012-0135-8
    • (2013) J Community Genet. , vol.4 , pp. 169-180
    • Goldsmith, L.1    Jackson, L.2    O'Connor, A.3    Skirton, H.4
  • 16
    • 84964542141 scopus 로고    scopus 로고
    • 23andMe. Accessed at, on November 2014
    • 23andMe. Accessed at www.23andme.com on November 2014.
  • 17
    • 84964542143 scopus 로고    scopus 로고
    • Pathway Genomics. Accessed at, on November 2014
    • Pathway Genomics. Accessed at www.pathway.com on November 2014.
  • 18
    • 84856707405 scopus 로고    scopus 로고
    • Navigating a research partnership between academia and industry to assess the impact of personalized genetic testing
    • [PMID: 22241103]
    • Lehmann LS, Kaufman DJ, Sharp RR, Moreno TA, Mountain JL, Roberts JS, et al. Navigating a research partnership between academia and industry to assess the impact of personalized genetic testing. GenetMed.2012; 14:268-73. [PMID: 22241103] doi:10.1038/gim .2011.59
    • (2012) GenetMed. , vol.14 , pp. 268-273
    • Lehmann, L.S.1    Kaufman, D.J.2    Sharp, R.R.3    Moreno, T.A.4    Mountain, J.L.5    Roberts, J.S.6
  • 19
    • 84927922047 scopus 로고    scopus 로고
    • Design, methods, and participant characteristics of the Impact of Personal Genomics (PGen) Study, a prospective cohort study of direct-to-consumer personal genomic testing customers
    • PGen Study Group. [PMID: 25484922]
    • Carere DA, Couper MP, Crawford SD, Kalia SS, Duggan JR, Moreno TA, et al; PGen Study Group. Design, methods, and participant characteristics of the Impact of Personal Genomics (PGen) Study, a prospective cohort study of direct-to-consumer personal genomic testing customers. Genome Med. 2014; 6:96. [PMID: 25484922] doi:10.1186/s13073-014-0096-0
    • (2014) Genome Med. , vol.6 , pp. 96
    • Carere, D.A.1    Couper, M.P.2    Crawford, S.D.3    Kalia, S.S.4    Duggan, J.R.5    Moreno, T.A.6
  • 20
    • 84964565276 scopus 로고    scopus 로고
    • PatientsLikeMe. on September 1 2015
    • PatientsLikeMe. Accessed at www.patientslikeme.com on September 1 2015.
  • 21
    • 0032212679 scopus 로고    scopus 로고
    • Overview of the SF-36 health survey and the international quality of life assessment (IQOLA) project
    • [PMID: 9817107]
    • Ware JE Jr, Gandek B. Overview of the SF-36 Health Survey and the International Quality of Life Assessment (IQOLA) Project. J Clin Epidemiol. 1998; 51:903-12. [PMID: 9817107]
    • (1998) J Clin Epidemiol. , vol.51 , pp. 903-912
    • Ware, J.E.1    Gandek, B.2
  • 22
    • 52049108776 scopus 로고    scopus 로고
    • Diagnosis of anxiety disorders in primary care
    • [PMID: 18756659]
    • Ebell MH. Diagnosis of anxiety disorders in primary care. Am Fam Physician. 2008; 78:501-2. [PMID: 18756659]
    • (2008) Am Fam Physician. , vol.78 , pp. 501-502
    • Ebell, M.H.1
  • 23
    • 84937976392 scopus 로고    scopus 로고
    • How well do customers of direct-to-consumer personal genomic testing services comprehend genetic test results? Findings from the Impact of Personal Genomics Study
    • PGen Study Group. [PMID: 26087778]
    • Ostergren JE, Gornick MC, Carere DA, Kalia SS, Uhlmann WR, Ruffin MT, et al; PGen Study Group. How well do customers of direct-to-consumer personal genomic testing services comprehend genetic test results? Findings from the Impact of Personal Genomics Study. Public Health Genomics. 2015; 18:216-24. [PMID: 26087778] doi:10.1159/000431250
    • (2015) Public Health Genomics. , vol.18 , pp. 216-224
    • Ostergren, J.E.1    Gornick, M.C.2    Carere, D.A.3    Kalia, S.S.4    Uhlmann, W.R.5    Ruffin, M.T.6
  • 24
    • 80855148238 scopus 로고    scopus 로고
    • Motivations and perceptions of early adopters of personalized genomics: Perspectives from research participants
    • [PMID: 21654153]
    • Gollust SE, Gordon ES, Zayac C, Griffin G, Christman MF, Pyeritz RE, et al. Motivations and perceptions of early adopters of personalized genomics: perspectives from research participants. Public Health Genomics. 2012; 15:22-30. [PMID: 21654153] doi:10.1159/000327296
    • (2012) Public Health Genomics. , vol.15 , pp. 22-30
    • Gollust, S.E.1    Gordon, E.S.2    Zayac, C.3    Griffin, G.4    Christman, M.F.5    Pyeritz, R.E.6
  • 25
    • 76349089742 scopus 로고    scopus 로고
    • Are men shortchanged on health? Perspective on health care utilization and health risk behavior in men and women in the United States
    • [PMID: 20456194]
    • Pinkhasov RM, Wong J, Kashanian J, Lee M, Samadi DB, Pinkhasov MM, et al. Are men shortchanged on health? Perspective on health care utilization and health risk behavior in men and women in the United States. Int J Clin Pract. 2010; 64:475-87. [PMID: 20456194] doi:10.1111/j.1742-1241.2009.02290.x
    • (2010) Int J Clin Pract. , vol.64 , pp. 475-487
    • Pinkhasov, R.M.1    Wong, J.2    Kashanian, J.3    Lee, M.4    Samadi, D.B.5    Pinkhasov, M.M.6
  • 26
    • 84954341715 scopus 로고    scopus 로고
    • Consumers report lower confidence in their genetics knowledge following direct-to-consumer personal genomic testing
    • [PMID: 25812042]
    • Carere DA, Kraft P, Kaphingst KA, Roberts JS, Green RC. Consumers report lower confidence in their genetics knowledge following direct-to-consumer personal genomic testing. Genet Med. 2016; 18:65-72. [PMID: 25812042] doi:10.1038/gim.2015.34
    • (2016) Genet Med. , vol.18 , pp. 65-72
    • Carere, D.A.1    Kraft, P.2    Kaphingst, K.A.3    Roberts, J.S.4    Green, R.C.5
  • 27
    • 28644446593 scopus 로고    scopus 로고
    • Deficiency of knowledge of genetics and genetic tests among general practitioners, gynecologists, and pediatricians: A global problem
    • [PMID: 16301861]
    • Baars MJ, Henneman L, Ten Kate LP. Deficiency of knowledge of genetics and genetic tests among general practitioners, gynecologists, and pediatricians: a global problem. Genet Med. 2005; 7:605-10. [PMID: 16301861]
    • (2005) Genet Med. , vol.7 , pp. 605-610
    • Baars, M.J.1    Henneman, L.2    Ten Kate, L.P.3
  • 28
    • 20444441514 scopus 로고    scopus 로고
    • The educational needs and professional roles of Canadian physicians and nurses regarding genetic testing and adult onset hereditary disease
    • [PMID: 15925883]
    • Bottorff JL, Blaine S, Carroll JC, Esplen MJ, Evans J, Nicolson Klimek ML, et al. The educational needs and professional roles of Canadian physicians and nurses regarding genetic testing and adult onset hereditary disease. Community Genet. 2005; 8:80-7. [PMID: 15925883]
    • (2005) Community Genet. , vol.8 , pp. 80-87
    • Bottorff, J.L.1    Blaine, S.2    Carroll, J.C.3    Esplen, M.J.4    Evans, J.5    Nicolson Klimek, M.L.6
  • 29
    • 79951582833 scopus 로고    scopus 로고
    • Genetic educational needs and the role of genetics in primary care: A focus group study with multiple perspectives
    • [PMID: 21329524]
    • Houwink EJ, van Luijk SJ, Henneman L, van der Vleuten C, Jan Dinant G, Cornel MC. Genetic educational needs and the role of genetics in primary care: a focus group study with multiple perspectives. BMC Fam Pract. 2011; 12:5. [PMID: 21329524] doi:10.1186/1471-2296-12-5
    • (2011) BMC Fam Pract. , vol.12 , pp. 5
    • Houwink, E.J.1    Van Luijk, S.J.2    Henneman, L.3    Van Der Vleuten, C.4    Jan Dinant, G.5    Cornel, M.C.6
  • 30
    • 84863613655 scopus 로고    scopus 로고
    • Educational needs of primary care physicians regarding direct-to-consumer genetic testing
    • [PMID: 22207397]
    • Powell KP, Christianson CA, Cogswell WA, Dave G, Verma A, Eubanks S, et al. Educational needs of primary care physicians regarding direct-to-consumer genetic testing. J Genet Couns. 2012; 21:469-78. [PMID: 22207397] doi:10.1007/s10897-011-9471-9
    • (2012) J Genet Couns. , vol.21 , pp. 469-478
    • Powell, K.P.1    Christianson, C.A.2    Cogswell, W.A.3    Dave, G.4    Verma, A.5    Eubanks, S.6
  • 32
    • 0036300994 scopus 로고    scopus 로고
    • Genetics education for primary-care providers
    • [PMID: 12094234]
    • Burke W, Emery J. Genetics education for primary-care providers. Nat Rev Genet. 2002; 3:561-6. [PMID: 12094234]
    • (2002) Nat Rev Genet. , vol.3 , pp. 561-566
    • Burke, W.1    Emery, J.2
  • 33
    • 33846325824 scopus 로고    scopus 로고
    • Educating healthcare professionals about genetics and genomics
    • [PMID: 17230201]
    • Guttmacher AE, Porteous ME, McInerney JD. Educating healthcare professionals about genetics and genomics. Nat Rev Genet. 2007; 8:151-7. [PMID: 17230201]
    • (2007) Nat Rev Genet. , vol.8 , pp. 151-157
    • Guttmacher, A.E.1    Porteous, M.E.2    McInerney, J.D.3
  • 34
    • 39449111661 scopus 로고    scopus 로고
    • Genetics of common disease: A primary care priority aligned with a teachable moment?
    • [PMID: 18281913]
    • Feero WG. Genetics of common disease: a primary care priority aligned with a teachable moment? Genet Med. 2008; 10:81-2. [PMID: 18281913] doi:10.1097/GIM.0b013e3181639a6d
    • (2008) Genet Med. , vol.10 , pp. 81-82
    • Feero, W.G.1
  • 35
    • 80052480372 scopus 로고    scopus 로고
    • Genomics education for health care professionals in the 21st century
    • [PMID: 21900139]
    • Feero WG, Green ED. Genomics education for health care professionals in the 21st century. JAMA. 2011; 306:989-90. [PMID: 21900139] doi:10.1001/jama.2011.1245
    • (2011) JAMA. , vol.306 , pp. 989-990
    • Feero, W.G.1    Green, E.D.2
  • 36
    • 3543052218 scopus 로고    scopus 로고
    • From pharmacogenetics to personalized medicine: A vital need for educating health professionals and the community
    • [PMID: 15212593]
    • Frueh FW, Gurwitz D. From pharmacogenetics to personalized medicine: a vital need for educating health professionals and the community. Pharmacogenomics. 2004; 5:571-9. [PMID: 15212593]
    • (2004) Pharmacogenomics. , vol.5 , pp. 571-579
    • Frueh, F.W.1    Gurwitz, D.2
  • 37
    • 78751695582 scopus 로고    scopus 로고
    • The need for medical education reform: Genomics and the changing nature of health information [Editorial]
    • [PMID: 20236478]
    • Nelson EA, McGuire AL. The need for medical education reform: genomics and the changing nature of health information [Editorial]. Genome Med. 2010; 2:18. [PMID: 20236478] doi:10.1186/gm139
    • (2010) Genome Med. , vol.2 , pp. 18
    • Nelson, E.A.1    McGuire, A.L.2
  • 38
    • 0036361575 scopus 로고    scopus 로고
    • Physician-patient communication in the primary care office: A systematic review
    • [PMID: 11841136]
    • Beck RS, Daughtridge R, Sloane PD. Physician-patient communication in the primary care office: a systematic review. J Am Board Fam Pract. 2002; 15:25-38. [PMID: 11841136]
    • (2002) J Am Board Fam Pract. , vol.15 , pp. 25-38
    • Beck, R.S.1    Daughtridge, R.2    Sloane, P.D.3
  • 39
    • 84874800332 scopus 로고    scopus 로고
    • Personal genotypes are teachable moments
    • [PMID: 23514125]
    • Boguski MS, Boguski RM, Berman MR. Personal genotypes are teachable moments. Genome Med. 2013; 5:22. [PMID: 23514125] doi:10.1186/gm426
    • (2013) Genome Med. , vol.5 , pp. 22
    • Boguski, M.S.1    Boguski, R.M.2    Berman, M.R.3
  • 40
    • 0034751089 scopus 로고    scopus 로고
    • Predictors of patient satisfaction
    • [PMID: 11206657]
    • Jackson JL, Chamberlin J, Kroenke K. Predictors of patient satisfaction. Soc Sci Med. 2001; 52:609-20. [PMID: 11206657]
    • (2001) Soc Sci Med. , vol.52 , pp. 609-620
    • Jackson, J.L.1    Chamberlin, J.2    Kroenke, K.3
  • 41
    • 0036436299 scopus 로고    scopus 로고
    • Unmet expectations for care and the patient-physician relationship
    • [PMID: 12406352]
    • Bell RA, Kravitz RL, Thom D, Krupat E, Azari R. Unmet expectations for care and the patient-physician relationship. J Gen Intern Med. 2002; 17:817-24. [PMID: 12406352]
    • (2002) J Gen Intern Med. , vol.17 , pp. 817-824
    • Bell, R.A.1    Kravitz, R.L.2    Thom, D.3    Krupat, E.4    Azari, R.5
  • 42
    • 65249171386 scopus 로고    scopus 로고
    • Does direct-to-consumer marketing of medical technologies undermine the physician-patient relationship?
    • [PMID: 19326306]
    • Rosenberg L. Does direct-to-consumer marketing of medical technologies undermine the physician-patient relationship? Am J Bioeth. 2009; 9:22-3. [PMID: 19326306] doi:10.1080/152651 60802716852
    • (2009) Am J Bioeth. , vol.9 , pp. 22-23
    • Rosenberg, L.1


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.