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

Author

Listed:
  • Blattner, Katharina
  • Nixon, Garry
  • Dovey, Susan
  • Jaye, Chrystal
  • Wigglesworth, John

Abstract

Objectives To determine whether the practical impact of point-of-care (POC) laboratory testing justifies its use in a remote rural hospital.Methods Test indication, pre-test differential diagnosis and planned patient disposition were recorded over 6 months before and after POC test use in Rawene hospital, in New Zealand's remote north. Doctors recorded impacts on patient treatments (no change, some change or a significant change). Comparisons were made using paired t-tests or [chi]2 tests. An analysis of cost versus tangible benefits was also undertaken.Results 269 POC tests were undertaken for 177 patients. POC tests significantly increased diagnostic certainty (2.5 diagnoses pre-test versus 1.3 diagnoses post-test (pÂ

Suggested Citation

  • Blattner, Katharina & Nixon, Garry & Dovey, Susan & Jaye, Chrystal & Wigglesworth, John, 2010. "Changes in clinical practice and patient disposition following the introduction of point-of-care testing in a rural hospital," Health Policy, Elsevier, vol. 96(1), pages 7-12, June.
    • Handle: RePEc:eee:hepoli:v:96:y:2010:i:1:p:7-12
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    Cited by:

    1. Philips, Hilde & Mahr, Dominik & Remmen, Roy & Weverbergh, Marcel & De Graeve, Diana & Van Royen, Paul, 2012. "Predicting the place of out-of-hours care—A market simulation based on discrete choice analysis," Health Policy, Elsevier, vol. 106(3), pages 284-290.

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