Point-of-care testing has a limited effect on time to clinical decision in primary health care

Grodzinsky, Ewa, 1958- (author): Östergötlands Läns Landsting,Linköpings universitet,Hälsouniversitetet,Allmänmedicin,Forsknings- och utvecklingsenheten för Närsjukvården i Östergötland

Wiréhn, Ann-Britt, 1960- (author): Östergötlands Läns Landsting,Linköpings universitet,Hälsouniversitetet,Allmänmedicin,Forsknings- och utvecklingsenheten för Närsjukvården i Östergötland

Fremner, Eva (author)

Haglund, S (author)

Larsson, Lasse, 1941- (author): Östergötlands Läns Landsting,Linköpings universitet,Hälsouniversitetet,Avdelningen för klinisk kemi,Klinisk kemi

Persson, L-G (author)

Borgquist, Lars, 1944- (author): Östergötlands Läns Landsting,Linköpings universitet,Hälsouniversitetet,Allmänmedicin,Forsknings- och utvecklingsenheten för Närsjukvården i Östergötland

(creator_code:org_t)

2009-07-08
2004
English.
In: Scandinavian Journal of Clinical and Laboratory Investigation. - : Informa UK Limited. - 0036-5513 .- 1502-7686. ; 64:6, s. 547-551

Related links:: https://urn.kb.se/re...; show more...; https://doi.org/10.1...; show less...

Abstract Subject headings

Objective: To investigate the clinical logistics of laboratory routines at primary health care centres (PHCs). Design and methods: Prospective registration was carried out for each PHC using questionnaires during 2-week intervals between the end of November 2001 and mid-January 2002. The study included 9 PHCs in the county of Östergötland and 4 in the county of Jönköping, Sweden, with different numbers of blood tests analysed using point-of-care testing (POCT). Data for B-glucose, HbA1c, C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), thyroid-stimulating hormone (TSH), T4, cholesterol, HDL-cholesterol, LDL-cholesterol and triglycerides were collected. Main outcome measures were median time from sampling to available test result (TATa) and median time from sampling to clinical decision (TATd), and the proportion of patients informed of the outcome of the blood test in question during the sampling occasion. Results: A total of 3542 samples were collected. The median TATa showed that B-glucose, ESR and CRP were immediately analysed at all 13 PHCs. For the other tests, TATa varied from immediately to about two days. The median TATd varied from immediately to about a week. When POCT was used, 30% of the patients were informed about the outcome of the test during the sampling occasion. Conclusion: POCT has a limited effect on the clinical logistics in PHCs.

By the author/editor: Grodzinsky, Ewa, ...; Wiréhn, Ann-Brit ...; Fremner, Eva; Haglund, S; Larsson, Lasse, ...; Persson, L-G; show more...; Borgquist, Lars, ...; show less...

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