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Evaluation of utilisation and consequences of CRP point-of-care-testing in primary care practices: qualitative
Paul Jung1, Jutta Bleidorn1, Susanne Doepfmer2
1Institute of General Practice and Family Medicine, Jena University Hospital, Friedrich Schiller University, Jena, Germany.
Background:
The use and advantages of point-of-care tests (POCTs) for C-reactive protein (CRP) in general practice, especially for upper respiratory tract infections (uRTIs), have been studied extensively. However, there is limited knowledge about test indications, prerequisites, and integration of these tests into everyday practice.
Aim:
To investigate the attitudes and experiences of GPs in Germany regarding the use of semi-quantitative C-reactive protein point-of-care tests (CRP-POCTs). The study places special emphasis on implementation in routine care, including testing procedures, feasibility, opportunities, and barriers for specific consultation scenarios, as well as test indications and their impact on GP-patient communication.
Design & Setting:
Qualitative interview study with 10 GPs (May 2023-August 2023) in Germany.
Method:
Ten German GPs who participated in an observational study on CRP-POCT use in general practices were interviewed using semi-structured interviews. Audio-recordings were transcribed and content analysis was performed.
Results:
Interviewed GPs stated that CRP-POCTs offer several advantages for various treatment cases. The tests improve diagnostic confidence and certainty of GPs' therapeutic decisions, and offer a broad spectrum of indications and application scenarios. Additionally, the tests have a positive impact on GP-patient communication, and their ease of use enables rapid implementation into existing workflows. On the other hand, CRP-POCTs increase the time required for test performance and patient consultation.
Conclusion:
Owing to the numerous benefits of semi-quantitative CRP-POCTs, interviewed GPs have a favourable attitude towards their regular integration into everyday practice. Implementation barriers include increased time and personnel expenses for testing and inadequate reimbursement by German statutory health insurance.
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