Department of Pathology, Massachusetts General Hospital, Fruit Street, Boston, MA 02114, United States; Harvard Medical School, Boston, MA, United States.
Department of Medicine, Massachusetts General Hospital, Fruit Street, Boston, MA 02114, United States; Harvard Medical School, Boston, MA, United States.
Clin Chim Acta. 2017 Oct;473:71-74. doi: 10.1016/j.cca.2017.08.019. Epub 2017 Aug 19.
In a previous study we reported on the impact of point-of-care testing (POCT) on practice efficiency in an academic primary care practice that was established to develop new models of care delivery. Here we report a follow-on confirmation study in a more typical primary care practice in the community.
In this observational study with a retrospective comparison analysis we measured metrics of practice efficiency on two patient cohorts: those that did not receive POCT and those that did.
In the patient cohort that received POCT there was a 99% reduction in letters to patients (p<0.001), a 75% decrease in calls to patients (not significant due to small numbers), a 50% reduction in follow-up tests per visit (p=0.044) and a 38% reduction in follow-up visits due to abnormal test results (p=0.178). Financial analysis including testing costs, revenues and efficiency gains to the practice demonstrated a net financial benefit of $11.90-14.74 per patient visit.
Our data confirm the earlier published findings that POCT can improve metrics of practice efficiency in a primary care practice.
在之前的一项研究中，我们报告了即时检验（POCT）对我们建立的以开发新的医疗服务模式的学术初级保健实践的实践效率的影响。在这里，我们在社区中更典型的初级保健实践中报告了后续的确认研究。
在这项具有回顾性比较分析的观察性研究中，我们对两个患者队列的实践效率指标进行了测量：未接受 POCT 的患者队列和接受 POCT 的患者队列。
在接受 POCT 的患者队列中，给患者的信件减少了 99%（p<0.001），给患者的电话减少了 75%（由于数量较少，无统计学意义），每次就诊的随访检查减少了 50%（p=0.044），由于异常检查结果而导致的随访就诊减少了 38%（p=0.178）。包括测试成本、收入和对实践的效率增益在内的财务分析表明，每次就诊的净财务收益为 11.90-14.74 美元。
我们的数据证实了之前发表的发现，即时检验可以提高初级保健实践的实践效率指标。
