Trenti Tommaso
Laboratory Medicine & Pathology Department, Azienda Universitaria Ospedaliera e USL di Modena, Italy.
EJIFCC. 2021 Oct 18;32(3):328-336. eCollection 2021 Oct.
Central or area laboratories will offer an improved number of diagnostic testing services, where drivers for change will involve chronic disease clinical care for an increasingly older population, new emerging diagnostic technologies and personalized medicine. Higher automation quality and ever more diagnostic field integration will lead to higher productivity by means of an improved throughput. At the same time Point of Care Testing (POCT) site of patient care allows for timely medical assessment, which can lead to improved patient outcomes, more effectiveness and patient satisfaction. POCT test introduction in clinical practice should be assessed by an outcome-based policy to avoid adverse events, failure to diagnose providing appropriate timed treatment. The use of POCT devices does not only require technological considerations for the production and management of acceptable tests possibly managed by central laboratory, but also implicates a shift in diagnostic practice across all health organizations. The interaction between laboratory professionals and clinicians will be enriched with new methods of evaluation of patient needs in the internet of things and mobile Health worlds, where boundaries between POCT and central laboratory or hospital and primary healthcare will no longer exist and where all data can be shared and disseminated among stakeholders in the healthcare system.
中心实验室或区域实验室将提供更多的诊断检测服务,推动变革的因素包括为日益老龄化的人群提供慢性病临床护理、新兴诊断技术和个性化医疗。更高的自动化质量以及更多的诊断领域整合将通过提高通量来提高生产力。同时,患者护理现场的即时检验(POCT)可实现及时的医疗评估,从而改善患者预后、提高效率并提升患者满意度。临床实践中引入POCT检测应通过基于结果的政策进行评估,以避免不良事件、未能诊断从而无法提供适当的及时治疗。POCT设备的使用不仅需要考虑由中心实验室可能管理的可接受检测的生产和管理方面的技术问题,还意味着所有卫生组织的诊断实践发生转变。在物联网和移动健康领域,实验室专业人员与临床医生之间的互动将因评估患者需求的新方法而更加丰富,在这些领域,POCT与中心实验室或医院与基层医疗保健之间的界限将不复存在,所有数据都可在医疗保健系统的利益相关者之间共享和传播。