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Point-of-care diagnostic technologies offer transformative potential for infectious disease control. Strategic laboratory involvement is crucial for successful implementation and to prevent overwhelming health systems.

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Area of Science:

  • Clinical diagnostics
  • Public health
  • Health systems strengthening

Background:

  • Advancements in point-of-care (POC) technologies aim to improve access to affordable, quality-assured diagnostics.
  • Decentralizing diagnostic testing can strain health systems if not managed effectively.

Purpose of the Study:

  • To review the strategic integration of novel diagnostic technologies into healthcare systems.
  • To highlight the essential role of laboratories in the successful adoption and scale-up of POC diagnostics.

Main Methods:

  • Review of recent literature on POC technology implementation.
  • Analysis of health system requirements for diagnostic decentralization.
  • Exploration of implementation science principles for technology adoption.

Main Results:

  • The full impact of POC technologies depends on their evaluation, adoption, and scaling within healthcare systems.
  • Laboratory involvement is critical for planning, introduction, and scale-up strategies to ensure quality and prevent system stress.
  • A paradigm shift positions laboratories as command centers for technology implementation, requiring integration with surveillance and research.

Conclusions:

  • Laboratories must lead technology introduction, utilizing implementation science to navigate contextual factors.
  • A comprehensive diagnostic system integrating laboratories and POC sites is needed for quality-assured services and patient care linkage.
  • Enhanced national surveillance and research are vital for disease control and monitoring the impact of new diagnostic tools.