Abstract:
BACKGROUND:The increasing number of available point-of-care (POC) tests challenges clinicians regarding decisions on which tests to use, how to efficiently use them, and how to interpret the results. Although POC tests may offer benefits in terms of low turn-around-time, improved patient's satisfaction, and health outcomes, only few are actually used in clinical practice. Therefore, this study aims to identify which criteria are, in general, important in the decision to implement a POC test, and to determine their weight. Two POC tests available for use in Dutch general practices (i.e. the C-reactive protein (CRP) test and the glycated haemoglobin (HbA1c) test) serve as case studies. The information obtained from this study can be used to guide POC test development and their introduction in clinical practice. METHODS:Relevant criteria were identified based on a literature review and semi-structured interviews with twelve experts in the field. Subsequently, the criteria were clustered in four groups (i.e. user, organization, clinical value, and socio-political context) and the relative importance of each criterion was determined by calculating geometric means as implemented in the Analytic Hierarchy Process. Of these twelve experts, ten participated in a facilitated group session, in which their priorities regarding both POC tests (compared to central laboratory testing) were elicited. RESULTS:Of 20 criteria in four clusters, the test's clinical utility, its technical performance, and risks (associated with the treatment decision based on the test result) were considered most important for using a POC test, with relative weights of 22.2, 12.6 and 8.5%, respectively. Overall, the experts preferred the POC CRP test over its laboratory equivalent, whereas they did not prefer the POC HbA1c test. This difference was mainly explained by their strong preference for the POC CRP test with regard to the subcriterion 'clinical utility'. CONCLUSIONS:The list of identified criteria, and the insights in their relative impact on successful implementation of POC tests, may facilitate implementation and use of existing POC tests in clinical practice. In addition, having experts score new POC tests on these criteria, provides developers with specific recommendations on how to increase the probability of successful implementation and use.
journal_name
BMC Fam Practjournal_title
BMC family practiceauthors
Kip MMA,Hummel JM,Eppink EB,Koffijberg H,Hopstaken RM,IJzerman MJ,Kusters Rdoi
10.1186/s12875-018-0893-4subject
Has Abstractpub_date
2019-01-10 00:00:00pages
8issue
1issn
1471-2296pii
10.1186/s12875-018-0893-4journal_volume
20pub_type
杂志文章abstract:BACKGROUND:It is common to find a high variability in the accuracy of heart failure (HF) diagnosis in electronic primary care medical records (EMR). Our aims were to ascertain (i) whether the prognosis of HF labelled patients whose ejection fraction (EF) was missing in their EMR differed from those that had it register...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-017-0612-6
更新日期:2017-03-17 00:00:00
abstract:BACKGROUND:In a society where ageing of the population and the increasing prevalence of long-term conditions are major issues, collaboration between primary and secondary care is essential to provide continuous, patient-centred care. Doctors play an essential role at the primary-secondary care interface in realising 's...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-020-01234-6
更新日期:2020-09-02 00:00:00
abstract:BACKGROUND:While trust in physicians has been rigorously investigated regarding its concept, measurement, and factors, the studies have mainly focused on the attributes of the physicians. This approach can lead to a limited understanding of trust in physicians as trust is based on the relationship, an interaction of bo...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-018-0875-6
更新日期:2018-11-29 00:00:00
abstract:BACKGROUND:Poorly controlled diabetes leads to multiple complications including oral health problems. General practitioners (GPs) are at the forefront of management of chronic diseases in primary health care. Diabetes guidelines encourage a proactive role for GPs in oral health complications management in people with d...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-020-1102-9
更新日期:2020-02-13 00:00:00
abstract:BACKGROUND:Prevalence of insomnia symptoms in the general population is high. Insomnia is linked with high health care use and within primary care there are a number of treatment options available. The objective of this study was to determine the association of persistence and remission of insomnia with primary health ...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-13-8
更新日期:2012-02-16 00:00:00
abstract:BACKGROUND:Multiple diagnostic algorithms for heart failure exist. However, it is unclear whether these algorithms are incorporated in the 'scripts' clinicians use in every day practice. Scripts are networks of organised knowledge that are acquired and accumulated during clinical training and are refined with each clin...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-016-0481-4
更新日期:2016-07-21 00:00:00
abstract:BACKGROUND:Antibiotics are being overprescribed in ambulant care, especially for respiratory tract infections (RTIs). Gaining insight into the actual reasons for prescribing remains important for the design of effective strategies to optimise antibiotic prescribing. We aimed to determine items of importance for the ant...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-3-16
更新日期:2002-09-09 00:00:00
abstract:BACKGROUND:The average delay in diagnosis for patients with axial spondyloarthritis (axSpA) is 7 to 10 years. Factors that contribute to this delay are multifactorial and include the lack of diagnostic criteria (although classification criteria exist) for axSpA and the difficulty in distinguishing inflammatory back pai...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-020-01274-y
更新日期:2020-09-29 00:00:00
abstract:BACKGROUND:The UK National GP Patient Survey is one of the largest ever survey programmes of patients registered to receive primary health care, inviting five million respondents to report their experience of NHS primary healthcare. The third such annual survey (2008/9) involved the development of a new survey instrume...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-10-57
更新日期:2009-08-22 00:00:00
abstract:BACKGROUND:Interpersonal Psychotherapy (IPT) is recommended in most depression treatment guidelines and proved to be a suitable treatment for elderly depressed patients. Despite the favorable results of IPT in research populations, the dissemination to general practice is surprisingly limited. Little is known about upt...
journal_title:BMC family practice
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2296-8-52
更新日期:2007-09-13 00:00:00
abstract:BACKGROUND:Since Huntington's Disease (HD) is a familial disease with an average onset in the mid-thirties, one might expect that spousal carers are concerned with providing care for off-spring who may turn out to be affected. METHODS:This study involved ten face-to-face interviews with carers of spouses affected by H...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-6-38
更新日期:2005-09-14 00:00:00
abstract:BACKGROUND:Depression is prevalent in people with type 2 diabetes and affects both glycemic control and overall quality of life. The aim of this trial was to evaluate the effect of the antidepressant paroxetine on metabolic control, quality of life and mental well-being in mildly depressed women with type 2 diabetes. ...
journal_title:BMC family practice
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1186/1471-2296-4-7
更新日期:2003-05-14 00:00:00
abstract:BACKGROUND:The Mini-Mental State Examination (MMSE) has contributed to detecting cognitive impairment, yet few studies have evaluated its accuracy when used by general practitioners (GP) in an actual public-health setting. OBJECTIVES:We evaluated the accuracy of MMSE scores obtained by GPs by comparing them to scores ...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-9-29
更新日期:2008-05-13 00:00:00
abstract:BACKGROUND:Variation in prescription of antibiotics in primary care can indicate poor clinical practice that contributes to the increase of resistant strains. General Practitioners (GPs), as a professional group, are expected to have a fairly homogeneous prescribing style. In this paper, we describe variation in prescr...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-015-0224-y
更新日期:2015-01-29 00:00:00
abstract:BACKGROUND:In the Netherlands, about half of the patient contacts with a general practitioner (GP) cooperative are nonurgent from a medical perspective. A part of these problems can wait until office hours or can be managed by the patient himself without further professional care. However, from the patient's perspectiv...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-015-0376-9
更新日期:2015-10-28 00:00:00
abstract:BACKGROUND:User reported experiences and satisfaction are increasingly used as basis for quality indicators in the health sector. However, there is limited understanding of factors associated with user reported experiences and satisfaction with casualty clinics. METHODS:A random sample of 542 patients that had contact...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-11-73
更新日期:2010-10-06 00:00:00
abstract:BACKGROUND:Cooperatives delivering out of hours care in the Netherlands are hesitant about the use of expert systems during triage. Apart from the extra costs, cooperatives are not sure that quality of triage is sufficiently enhanced by these systems and believe that call duration will be prolonged drastically. No figu...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-9-11
更新日期:2008-02-13 00:00:00
abstract:BACKGROUND:General practitioners (GPs) and patients find it difficult to talk about risk of future disease, especially when patients have asymptomatic conditions, and treatment options are unlikely to cause immediate perceptible improvements in well-being. Further studies in risk communication training are needed. AIM...
journal_title:BMC family practice
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2296-11-70
更新日期:2010-09-22 00:00:00
abstract:BACKGROUND:Over three-quarters of all suicides are men (England and Wales), this is despite higher levels of anxiety and depression being reported by women. This disparity may in part be explained by atypical presentations of distress in men, and gendered issues around help-seeking. Consequently, the Atlas Men's Well-b...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-016-0410-6
更新日期:2016-02-02 00:00:00
abstract:BACKGROUND:General Practitioners (GPs) employ strategies to identify and retrieve medical evidence for clinical decision making which take workload and time constraints into account. Optimal Foraging Theory (OFT) initially developed to study animal foraging for food is used to explore the information searching behaviou...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-12-90
更新日期:2011-08-23 00:00:00
abstract:BACKGROUND:Symptoms of cancer may be interpreted differently by different patients before the diagnosis. This study investigated symptom attributions in Danish patients with colorectal cancer and the potential associations with symptom type, socio-demographic characteristics and patient interval. METHODS:Data were col...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-015-0315-9
更新日期:2015-09-03 00:00:00
abstract:BACKGROUND:Over the last two decades, ultrasonography (US) has been shown to be an accurate tool for the diagnosis of suspected bone fractures; however, the integration of this application of US into routine care and outpatient settings needs to be explored. In this study, we surveyed German general practitioners (GPs)...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-020-1078-5
更新日期:2020-01-13 00:00:00
abstract:BACKGROUND:General Practice Co-Operatives provide most out of hours care in communities in Ireland. Limited data exists on patient complaints. This study reports on complaints at Kildare and West Wicklow Doctors on Call ('K Doc'), a GP Co-Operative in Ireland, examining the impact of a formal risk reduction strategy im...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-016-0484-1
更新日期:2016-07-21 00:00:00
abstract:BACKGROUND:Missed appointments are known to interfere with appropriate care and to misspend medical and administrative resources. The aim of this study was to test the effectiveness of a sequential intervention reminding patients of their upcoming appointment and to identify the profile of patients missing their appoin...
journal_title:BMC family practice
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2296-11-79
更新日期:2010-10-25 00:00:00
abstract:BACKGROUND:Intimate partner violence is highly prevalent and mostly affects women with negative consequences for their physical and mental health. Children often witness the violence which has negative consequences for their well-being too. Care offered by family physicians is often rejected because abused women experi...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-12-113
更新日期:2011-10-18 00:00:00
abstract:BACKGROUND:The definition of primary care varies between countries. Swedish primary care has developed from a philosophic viewpoint based on quality, accessibility, continuity, co-operation and a holistic view. The meaning of holism in international literature differs between medicine and nursing. The question is, if t...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-8-8
更新日期:2007-03-08 00:00:00
abstract:BACKGROUND:Overweight, obesity and hypertension can be prevented through improvements in lifestyle including nutrition and physical activity. General practitioners (GPs) in Australia have access to over 90% of the population in the course of a year and therefore, the general practice setting may be ideal to assist pati...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-11-8
更新日期:2010-02-01 00:00:00
abstract:BACKGROUND:The administrative and professional consequences of access targets for general practices, as detailed in the new GMS contract, are unknown. This study researched the effect of implementing the access targets of the new GP contract on general practice appointment systems, and practice manager satisfaction in ...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-7-37
更新日期:2006-06-19 00:00:00
abstract:BACKGROUND:Internationally, guidelines for depression recommend a stepped care approach, implying that antidepressant medication should not be offered as a first step treatment to patients with sub-threshold or mild depression. In the Netherlands, antidepressant prescribing rates in general practice as a first treatmen...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-15-35
更新日期:2014-02-19 00:00:00
abstract:BACKGROUND:No studies that have measured the role of nursing care plans in patients with poorly controlled type 2 diabetes mellitus. Our objectives were firstly, to evaluate the effectiveness of implementing Standardized languages in Nursing Care Plans (SNCP) for improving A1C, blood pressure and low density lipoprotei...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-018-0800-z
更新日期:2018-07-24 00:00:00