Sneltesten in de huisartspraktijk: huidig gebruik en behoefte aan testen in de toekomst
| Autor: | Cals, Jochen W. L., Schols, Angel M. R., van Weert, Henk C. P. M., Stevens, Femke, Zeijen, Camiel G. I. P., Holtman, Gea, Lucassen, Wim A. M., Berger, Marjolein Y. |
|---|---|
| Přispěvatelé: | Cancer Center Amsterdam, Amsterdam Public Health, General practice, Amsterdam institute for Infection and Immunity, Amsterdam Cardiovascular Sciences |
| Jazyk: | Dutch; Flemish |
| Rok vydání: | 2014 |
| Zdroj: | Nederlands tijdschrift voor geneeskunde, 158. Bohn Stafleu van Loghum Nederlands tijdschrift voor geneeskunde, 159(5):A8210. Bohn Stafleu van Loghum |
| ISSN: | 0028-2162 |
| Popis: | Objective: To provide insight into the current use, future needs, and attitudes towards point-of-care testing among Dutch family practitioners. Design: Cross-sectional online survey. Method: We performed a survey among 2129 Dutch family practitioners. We asked respondents to report on the current and desired use of point-of-care tests, frequency of use, their opinions on aspects of point-of-care tests and consequences of point-of-care tests on their practice, acceptable waiting times for test results to come in, the desire for point-of-care tests at out-of-hours services, and conditions for which a point-of-care test could assist in diagnosis. Results: 639 family practitioners completed the survey (response rate: 30%). The most common point-of-care tests currently used by family physicians were: blood glucose (96%), urine leucocytes or nitrite (96%), urine pregnancy (94%), haemoglobin (58%), and CRP (48%). The most commonly desired point-of-care tests were: D-dimer (70%), troponin (65%), BNP (62%), chlamydia (60%), and INR (54%). Family practitioners expected point-of-care tests to have a positive effect on patient satisfaction (93%), diagnostic certainty (89%), antibiotics use (84%), and substitution to primary care (78%). They considered the proven effect on clinical management (46%) and the tests' reliability (35%) to be important aspects of point-of-care tests. Respondents wanted point-of-care tests to help them diagnose acute conditions, such as acute thromboembolic disorders (D-dimers), cardiac disorders (troponin, BNP), and infections (CRP, chlamydia). Conclusion: The current use of point-of-care testing in family practice is restricted to a limited number of tests. In the future, Dutch family practitioners wish to use more point-of-care tests, especially in acute conditions in which a diagnostic decision needs to be made immediately. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|