Near-patient testing in primary care

Facilitating technology adoption in the NHS: negotiating the organisational and policy context – a qualitative study

“…2 Furthermore, modern technologies may radically reshape health care, shifting the focus from expensive 'downstream' treatment of illness at a late stage towards lower cost 'upstream' health promotion and disease prevention interventions. 3 For example, 'active assistance' technologies can assist members of the public to understand and maintain their own well-being, 4 'persuasive' technologies can facilitate health promotion, 5 and technologies for 'near-patient' (or 'point-of-care') testing 6 can shift activity from secondary care to primary care settings.…”

A rapid MZI-IDA sensor system for EGFR mutation testing in non-small cell lung cancer (NSCLC)

“…Although these methods have proved effective and sensitive to detect EGFR mutations, they are still labor intensive and may require sophisticated instruments that are not suitable for near-patienttesting (NPT) in clinician's office. NPT is defined to make immediate and informed decisions about patient for earlier diagnosis and disease management in primary care, which leads potentially to improved patient's management and outcome, cost-effectiveness, and reducing health inequalities (Delaney et al, 1999;Khunti, 2010). NPT devices incorporate emerging techniques including silicon biophotonic sensors, electrodes, and solid phase reagents that enable rapid assay reaction, reducing sample and reagent volumes, ease of use, and less technical skill (Crook, 2000;Shin et al, 2015).…”

Frequencies and patterns of laboratory test requests from general practice: a service evaluation to inform point-of-care testing

“…Immediate access to test results allows clinicians to incorporate results into their decision making and to share decision making with the patient,2 and may also improve patient outcomes, patient satisfaction and cost-effectiveness 3. In some cases, such as when measuring serum potassium, POC results have the potential to be more physiologically relevant than those from samples that have developed a shift in electrolyte balance during a long uncontrolled journey to a laboratory 4 5…”