Schols Angel M R, Dinant Geert-Jan, Hopstaken Rogier, Price Christopher P, Kusters Ron, Cals Jochen W L
Department of Family Medicine, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, the Netherlands.
Saltro, Diagnostic Center for Primary Care, Utrecht, the Netherlands.
Fam Pract. 2018 Jul 23;35(4):475-480. doi: 10.1093/fampra/cmx134.
The use of point-of-care tests (POCTs) in family practice is increasing, and the term POCT is often used in medical literature and clinical practice. Yet, no widely supported definition by several professional fields exists.
To reach consensus on an international definition of a POCT in family practice.
We performed a modified international e-Delphi procedure of four rounds among expert panel members from different professional backgrounds-family practitioners, laboratory specialists, policymakers, researchers and manufacturers.
Of 27 panel members from seven different countries, 26 participated in all rounds. Most panel members were active in POCT research or policymaking and 70% worked in family medicine. After choosing important components, structuring of answers and feedback, the following definition was chosen as the best or second best definition by 81% of panel members: a point-of-care test in family practice is a test to support clinical decision making, which is performed by a qualified member of the practice staff nearby the patient and on any part of the patient's body or its derivatives, during or very close to the time of consultation, to help the patient and physician to decide upon the best suited approach, and of which the results should be known at the time of the clinical decision making.
The definition emerging from this study can inform family practitioners, laboratory specialists, policymakers and manufacturers on the most widely supported and recognized definition and could act as a clear starting point for the organization and execution of professional point-of-care testing in family practice worldwide.
即时检验（POCT）在家庭医疗中的应用日益增加，该术语在医学文献和临床实践中也经常被使用。然而，目前尚无得到多个专业领域广泛支持的定义。
就家庭医疗中即时检验的国际定义达成共识。
我们在来自不同专业背景的专家小组成员（家庭医生、实验室专家、政策制定者、研究人员和制造商）之间进行了四轮改进的国际电子德尔菲法程序。
来自七个不同国家的27名小组成员中，26人参与了所有轮次。大多数小组成员活跃于即时检验研究或政策制定领域，70%从事家庭医学工作。在选择重要组成部分、构建答案和反馈之后，81%的小组成员将以下定义选为最佳或次佳定义：家庭医疗中的即时检验是一种支持临床决策的检验，由执业人员中的合格成员在患者附近、在患者身体的任何部位或其衍生物上、在会诊期间或非常接近会诊时间时进行，以帮助患者和医生决定最适合的方法，并且其结果应在临床决策时已知。
本研究得出的定义可为家庭医生、实验室专家、政策制定者和制造商提供关于最广泛支持和认可的定义的信息，并可作为全球家庭医疗中专业即时检验组织和实施的明确起点。
