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患者对即时检验的偏好:调查验证与结果

Patient Preferences for Point-of-Care Testing: Survey Validation and Results.

作者信息

Lilly Craig M, Ensom Emily, Teebagy Sean, DiMezza Danielle, Dunlap Denise, Hafer Nathaniel, Buchholz Bryan, McManus David

机构信息

Department of Medicine, University of Massachusetts Medical School.

Department of Anesthesiology, and Surgery, University of Massachusetts Medical School.

出版信息

Point Care. 2020 Dec;19(4):112-115. doi: 10.1097/poc.0000000000000214.

DOI:10.1097/poc.0000000000000214
PMID:34707464
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8547737/
Abstract

BACKGROUND

Studies of current opinion of our community members for the characteristics, mode, and location of use, use cases, and overall enthusiasm for point-of-care testing (POCT) diagnosis and management tools are needed.

STUDY DESIGN AND METHODS

Qualitative research methods were used to develop, refine, and evaluate hardcopy and electronic versions of a 45-item English language survey. The accuracy of the instrument was measured by recorded structured interview, and its precision was measured by comparison to its administration to a group of uncompensated volunteers.

MAIN FINDINGS AND RESULTS

Comparison of survey and structured interview data demonstrated high levels of accuracy. Highly concordant with significant levels of correlation and of direct association indicated favorable precision. Ninety-three percent of respondents believed that POCT could improve their care, and 56% identified having a POCT in their home as a top priority. Accuracy, insurance coverage, immediacy of results, and ease of use were identified as the most important characteristics of a POCT.

CONCLUSIONS

Community members strongly support the development of accurate, in-home devices that produce immediate results that can be used to diagnose, manage, and encourage their adherence to treatments for their medical conditions.

摘要

背景

需要对社区成员关于即时检验(POCT)诊断和管理工具的特征、使用方式和地点、用例以及总体热情的当前看法进行研究。

研究设计与方法

采用定性研究方法来开发、完善和评估一份包含45个项目的英文调查问卷的纸质版和电子版。通过记录结构化访谈来衡量该工具的准确性,并通过与一组无报酬志愿者进行调查对比来衡量其精确性。

主要发现与结果

调查问卷数据与结构化访谈数据的比较显示出高度的准确性。高度一致且具有显著的相关性和直接关联表明具有良好的精确性。93%的受访者认为即时检验可以改善他们的护理,56%的受访者将在家中配备即时检验设备列为首要任务。准确性、保险覆盖范围、结果即时性和易用性被确定为即时检验最重要的特征。

结论

社区成员强烈支持开发准确的家用设备,这些设备能产生即时结果,可用于诊断、管理疾病以及鼓励患者坚持治疗。

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