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International definition of a point-of-care test in family practice: a modified e-Delphi procedure

Angel M R Schols1, Geert-Jan Dinant1, Rogier Hopstaken2

  • 1Department of Family Medicine, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, the Netherlands.

Family Practice
|February 1, 2018
PubMed

Insights

A new international definition for point-of-care tests (POCTs) in family practice was established through an e-Delphi procedure. This consensus definition aims to standardize POCT use and organization in family medicine globally.

Area of Science:

  • Clinical Diagnostics
  • Family Medicine
  • Health Policy

Background:

  • The increasing use of point-of-care tests (POCTs) in family practice highlights the need for a standardized definition.
  • Current medical literature and practice lack a universally accepted definition for POCTs across professional fields.

Purpose of the Study:

  • To achieve international consensus on a definition for point-of-care tests (POCTs) specifically within the context of family practice.

Main Methods:

  • A modified international e-Delphi procedure involving four rounds of expert consensus-building was employed.
  • Expert panel members represented diverse professional backgrounds including family practitioners, laboratory specialists, policymakers, researchers, and manufacturers from seven countries.

Main Results:

  • Eighty-one percent of the 26 participating expert panel members endorsed a consensus definition for POCTs in family practice.
  • The agreed-upon definition emphasizes tests supporting clinical decision-making, performed by qualified staff near the patient during or close to consultation time, with results available at the point of decision.

Conclusions:

  • The developed definition provides a clear, widely supported international standard for POCTs in family practice.
  • This consensus definition can guide practitioners, policymakers, and manufacturers in organizing and implementing professional POCT services worldwide.
Abstract

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