Changes in clinical practice and patient disposition following the introduction of point-of-care testing in a rural hospital

Health Policy

Volumn 96, Issue 1, 2010, Pages 7-12

  Blattner, Katharina ^a   Nixon, Garry ^b   Dovey, Susan ^b   Jaye, Chrystal ^b   Wigglesworth, John ^c  

^a UNIVERSITY OF OTAGO   (New Zealand)

^b Dunstan Hospital   (New Zealand)

^c NONE   (New Zealand)

Author keywords

Point of care testing; Rural general practitioner, Acute rural health care; Rural hospital

Indexed keywords

ADULT; ARTICLE; CLINICAL DECISION MAKING; CLINICAL PRACTICE; CONTROLLED STUDY; COST BENEFIT ANALYSIS; DIAGNOSTIC ACCURACY; DIFFERENTIAL DIAGNOSIS; FEMALE; HEALTH CARE DISPARITY; HOSPITAL DISCHARGE; HUMAN; MALE; NEW ZEALAND; PATIENT CARE; PATIENT TRANSPORT; POINT OF CARE TESTING; PUBLIC HOSPITAL; QUANTITATIVE ANALYSIS; RURAL AREA; RURAL POPULATION; TREATMENT INDICATION; TURNAROUND TIME;

CHI-SQUARE DISTRIBUTION; COST CONTROL; DIAGNOSIS, DIFFERENTIAL; HOSPITALS, RURAL; HUMANS; LABORATORIES, HOSPITAL; NEW ZEALAND; OUTCOME AND PROCESS ASSESSMENT (HEALTH CARE); PATIENT TRANSFER; PHYSICIAN'S PRACTICE PATTERNS; POINT-OF-CARE SYSTEMS;

EID: 77952884177     PISSN: 01688510     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.healthpol.2009.12.002     Document Type: Article

References (13)

1. Williamson M, Gormley A, Dovey S, Farry P. Rural hospitals in New Zealand: results from a survey. New Zealand Medical Journal; in press.
2. Huckle D. Point-of-care diagnostics: an advancing sector with nontechnical issues. Expert Review of Molecular Diagnostics 2008, 8(6):679-688.
3. Nichols J.H., Christenson R.H., Clarke W., Gronowski A., et al. Executive summary. The National Academy of Clinical Biochemistry Laboratory Medicine Practice Guideline: evidence-based practice for point-of-care testing. Clinica Chimica Acta 2007, 379:14-28.
4. Guilbert R, Schnattner P, Sikaris K, Churilov L, et al. Review of the role and value of near patient testing in general practice. Report to the Pathology Section, Diagnostic and Technology Branch, Commonwealth Department of Health and Aged Care. 2001. http://www.health.gov.au/.
5. Blattner K, Nixon G, Jaye C, Dovey S. Issues associated with introducing Point-of-Care testing into a rural hospital setting: thematic analysis of interviews with providers. Journal of Primary Health Care; in press.
6. Salmond C. NZDep91: a New Zealand index of deprivation. Australian and New Zealand Journal of Public Health 1998, 22(7):835-837.
7. Jaine R., Baker M., Venugopal K. Epidemiology of acute rheumatic fever in New Zealand 1996-2005. Journal of Paediatrics and Child Health 2008, 44:564-571.
8. Reducing inequalities in health 2002, Ministry of Health, Wellington.
9. Lyon M., Blaivas M., Brannam L. Use of emergency ultrasound in a rural ED with limited radiology services. American Journal of Emergency Medicine 2005, 23(2):212-214.
10. McLean R., Malek S., Corish J., Sienkiewicz G. Utilisation and clinical efficacy of echocardiography in a regional hospital. Australian Journal of Rural Health 2006, 14(2):72-78.
11. Tukuitonga C.F., Bindman A.B. Ethnic and gender differences in the use of coronary artery revascularisation procedures in New Zealand. New Zealand Medical Journal 2002, 115(1152):179-182.
12. Aroney C., Aylward P., Kelly A.-M., Chew D., et al. National Heart Foundation of Australia. Cardiac Society of Australia and New Zealand Guidelines for the management of acute coronary syndromes 2006. Medical Journal of Australia 2006, 184(8 Suppl.):S1-S29.
13. Montalvo V. GPEP1 audit: rural hospital transfers. New Zealand Family Physician 2008, 35(5):328-329.