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Developments in near-patient testing.

D M Hailey¹, A R Lea

¹Health Technology Unit, Australian Institute of Health, Canberra, ACT.

Medical Laboratory Sciences

|October 1, 1990

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Near-patient testing offers advancements in healthcare but requires critical evaluation. Evidence of its benefits is limited, and its substantial costs necessitate careful consideration of system performance and relevance.

Area of Science:

Clinical diagnostics
Biomedical engineering
Health services research

Background:

Near-patient testing utilizes technologies like desktop analyzers and continuous monitoring systems.
Applications span physicians' offices, hospital wards, home care, and population screening.
Advances in genetic testing are also influencing near-patient diagnostics.

Purpose of the Study:

To evaluate the current state and potential of near-patient testing.
To address concerns regarding analytical performance in diverse settings.
To critically assess the cost-effectiveness and clinical relevance of these technologies.

Main Methods:

Review of existing near-patient testing technologies and applications.
Analysis of performance concerns and the role of accreditation and education.

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Evaluation of available evidence on clinical benefits and healthcare system costs.

Main Results:

Near-patient testing is increasingly adopted across various healthcare settings.
Concerns exist regarding the analytical performance of tests conducted by non-laboratory personnel.
Limited hard evidence supports the widespread clinical benefits of near-patient testing.
The costs associated with near-patient testing can be substantial for healthcare systems.

Conclusions:

Near-patient testing holds potential for healthcare but requires rigorous evaluation.
Further research is needed to establish clear evidence of clinical utility and cost-effectiveness.
Critical assessment of system performance and relevance to patient care is essential before widespread implementation.