Goals for Point-of-Care Testing in Thailand

Charuruks, Navapun; Prasopsanti, Kriangsak; Noppakun, Nopadon

doi:10.1097/00134384-200312000-00008

Cited by 2 publications

(1 citation statement)

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“…Since emergency room personnel generally work in close proximity to laboratory facilities in CHs and already operate common POC devices, such as glucose meters4,38,39, widespread implementation of POC cardiac biomarker testing will succeed, providing point-of-care coordinators assure operator competency, institute quality assurance, and oversee testing at the point of need. Principles of oversight and application of POCT in primary care are described clearly in a unique monograph in the Thai language39.…”

Section: Discussionmentioning

confidence: 99%

Emergency Cardiac Biomarkers and Point-of-Care Testing

Kost¹,

Kost²,

Suwanyangyuen³

et al. 2010

Point of Care: The Journal of Near-Patient Testing &Amp; Technology

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IntroductionThe goals of this paper are a) to facilitate the efficient diagnosis of patients who present with episodes of acute chest pain in rural emergency rooms located in low-resource community hospitals, b) to systematically optimize point-of-care (POC) testing using small-world networks (SWNs) adapted to unique and challenging geographic settings, and c) to align POC cardiac biomaker testing with referral options and treatment modalities available to local emergency medicine nurses and physicians. Methods Field SurveysField surveys focused primarily on a) cardiac biomarker testing and related cardiology and emergency medical system (EMS) services (Figure 1), b) point-of-care testing (POCT) resources and competency levels, and c) healthcare delivery systems within and between provinces in Isaan, northeastern Thailand. We visited and surveyed on site 3 referral hospitals Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. in Khon Kaen City, 5 province regional hospitals (RHs), and 10 community hospitals (CHs) administered by the Thai government in 6 provinces (Tables 1 and 2). NIH Public Access Response RateThe research process was developed carefully during prior field surveys in Sakaeo Province as part of Fulbright-sponsored research 1-3 and subsequently improved for several other regions of Thailand 4 and the United States 5 . Most POCT and clinical laboratory equipment was photo documented. Live interviews and telephone follow-up yielded a 100% return rate on survey questions, which included needs assessment. On-Site InterviewsInterviews were conducted in the Thai language. At each site a defined list of questions ("short form") was used to structure data gathered for consistency during discussions with hospital administrators, clinical directors, physicians, nurses, EMS personnel, ambulance drivers, laboratory technologists, and other staff in CHs and RHs. Additionally, we investigated Primary Care Units (PCUs) in follow-up. DemographyFrom on-site interviews, we collected health demography facts about each medical site, such as the number of hospital beds, numbers and types of physicians, the status of critical care units (e.g., ICU, CCU, OR, and ER), and the impact of patients with acute coronary syndrome (ACS) and acute myocardial infarction (AMI) on emergency services. National databases were consulted for population and health resources data 6-8.Province populations, PCUs, beds, physicians, professional nurses, technical nurses, and pharmacists were 977508, 157, 1105, 104, 898, 155, and 73 for Kalasin; 1752414, 146, 3748, 540, 2915, 454, and 212 for Khon Kaen; 9...

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Section: Discussionmentioning

confidence: 99%