a School of Biotechnology , Dublin City University , Dublin 9 , Ireland.
b Biomedical Diagnostics Institute , Dublin City University , Dublin 9 , Ireland.
Expert Rev Mol Diagn. 2017 Feb;17(2):109-118. doi: 10.1080/14737159.2017.1273773. Epub 2017 Jan 2.
Globally, both communicable and non-communicable diseases pose a serious threat to populations in developed as well as developing countries. Access to reliable diagnostic testing along with qualified health practitioners is severely limited in low resource and very remote areas and following natural catastrophes. Areas covered: This paper provides an overview of the challenges involved and suggests strategies to address them. The emergence of more robust, user-friendly, cost-effective and 'sample-to-result' point-of-care (POC) tools, along with the proliferation of mobile technologies, may provide a practical approach in addressing some of the challenges. Expert commentary: The successful implementation of POC testing requires the availability of versatile diagnostic technologies, improved platforms and back-up infrastructure, successful leveraging of human resources through training and, finally, engagement/coordination of associated stakeholders, including public health agencies, diagnostics companies, healthcare practitioners and local rural authorities.
在全球范围内，传染病和非传染性疾病都对发达国家和发展中国家的人口构成严重威胁。在资源匮乏和非常偏远的地区以及自然灾害发生后，可靠的诊断检测以及合格的卫生从业人员的获取受到严重限制。涵盖领域：本文概述了所涉及的挑战，并提出了解决这些挑战的策略。更强大、更易用、更具成本效益且“样本到结果”的即时检测 (POC) 工具的出现以及移动技术的普及，可能为解决其中一些挑战提供了一种实用方法。专家评论：POC 检测的成功实施需要具备多功能诊断技术、改进的平台和备用基础设施，通过培训成功利用人力资源，最后，还需要相关利益相关者（包括公共卫生机构、诊断公司、医疗保健从业者和当地农村当局）的参与/协调。
