英国初级医疗中的即时检验：一项确定临床需求的调查
Point-of-care testing in UK primary care: a survey to establish clinical needs.
作者信息
Turner Philip J, Van den Bruel Ann, Jones Caroline H D, Plüddemann Annette, Heneghan Carl, Thompson Matthew J, Price Christopher P, Howick Jeremy
机构信息
Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK and
Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK and.
出版信息
Fam Pract. 2016 Aug;33(4):388-94. doi: 10.1093/fampra/cmw018. Epub 2016 Apr 5.
BACKGROUND
A number of point-of-care diagnostic tests are commercially available in the UK, however, not much is known regarding GPs' desire for these tests or the clinical areas of interest.
OBJECTIVE
We sought to establish for which conditions point-of-care tests (POCTs) would be most helpful to UK GPs for diagnosis, reduction of referrals, and monitoring of chronic conditions.
METHODS
A total of 1635 regionally representative GPs were invited to complete an online cross-sectional survey between 31 September and 16 October 2012.
RESULTS
A total of 1109 (68%) GPs responded to the survey. The most frequently cited conditions were urinary tract infections for diagnosis (47% of respondents), pulmonary embolism/deep vein thrombosis for referral reduction (47%) and international normalized ratio/anticoagulation for monitoring (49%).
CONCLUSIONS
This survey has identified the conditions for which UK GPs would find POCTs most helpful. Comments by respondents suggest that quite radical system-level adjustments will be required to allow primary care clinicians to capitalize on the potential benefits of POCTs.
背景
英国市面上有多种即时检验诊断测试产品，但对于全科医生对这些测试的需求或感兴趣的临床领域，我们了解得并不多。
目的
我们试图确定对于哪些病症，即时检验（POCT）对英国全科医生进行诊断、减少转诊以及监测慢性病最有帮助。
方法
2012年9月31日至10月16日期间，共邀请了1635名具有地区代表性的全科医生完成一项在线横断面调查。
结果
共有1109名（68%）全科医生回复了调查。诊断方面最常提及的病症是尿路感染（47%的受访者），减少转诊方面是肺栓塞/深静脉血栓形成（47%），监测方面是国际标准化比值/抗凝（49%）。
结论
这项调查确定了英国全科医生认为POCT最有帮助的病症。受访者的评论表明，需要进行相当彻底的系统层面调整，以便初级保健临床医生能够利用POCT的潜在益处。
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