Shimetani Naoto
Department of Clinical Pathology, Koshigaya Hospital, Dokkyo University School of Medicine, Koshigaya 343-8555.
Rinsho Byori. 2002 Oct;50(10):958-64.
Point of care testing(POCT) is defined as clinical testing done at or near the site of patient treatment and care in the medical field, and includes all clinical test other than those performed at hospital laboratories and outside testing centers. Home testing is also a form of POCT relating to residential medical care. The ratio of clinical tests based on POCT has not tended to increase as rapidly in Japan, although such tests are greatly increasing in the US while clinical tests performed at hospital laboratories are decreasing. POCT products are generally applied to direct analysis of test samples obtained from patients. Since storage, transportation or pretreatment after sampling is not necessary in POCT, test data can be obtained in real time. Therefore, it is important to complete testing immediately after obtaining samples without transporting or storing them, when handling POCT samples. Consideration of POCT as a part of health care services covered by health insurance is the same as in the case of conventional testing. Recent technological innovation has provided a wide variety of POCT products that do not require medical equipment or reagents. Further development of novel, innovative POCT procedures in the near future is promising.
即时检验（POCT）被定义为在医疗领域患者治疗和护理现场或其附近进行的临床检验，包括除医院实验室和外部检测中心所进行的检验之外的所有临床检验。家庭检测也是与居家医疗护理相关的一种即时检验形式。即时检验的临床检验比例在日本并没有像在美国那样迅速增长，在美国这类检验大幅增加，而医院实验室进行的临床检验则在减少。即时检验产品通常用于对从患者身上获取的检测样本进行直接分析。由于即时检验无需对采样后的样本进行储存、运输或预处理，所以能够实时获取检测数据。因此，在处理即时检验样本时，在获取样本后不进行运输或储存而立即完成检测非常重要。将即时检验视为医疗保险涵盖的医疗保健服务的一部分，这与传统检验的情况相同。最近的技术创新提供了各种各样无需医疗设备或试剂的即时检验产品。在不久的将来，新型、创新的即时检验程序有望得到进一步发展。
