Global-of-care testing (GOCT): emerging challenges for laboratory medicine network

Area of Science:

• Laboratory medicine and diagnostics
• Public health and epidemiology
• Health systems and policy

Background:

• The COVID-19 pandemic underscored laboratory medicine's critical role in public health and clinical care.
• Increased public awareness has driven demand for rapid, accurate diagnostic information and shifted expectations.
• Existing literature and policy on coordinated international laboratory networks for surveillance and emergency response are limited.

Purpose of the Study:

• To introduce the concept of "global-of-care testing" for interconnected diagnostic infrastructures.
• To outline requirements for laboratory network design, including automation and integration.
• To emphasize the integration of Value-Based Laboratory Medicine (VBLM) for patient-centered care.

Main Methods:

• This opinion paper proposes a conceptual framework for "global-of-care testing."
• It discusses the integration of diverse laboratory platforms through automation.
• It advocates for a decentralized yet interconnected model with robust governance and sustained investment.

Main Results:

• A globally connected diagnostic infrastructure with regional adaptability is proposed.
• Integrated systems with automation can optimize workflows and support real-time decision-making.
• A decentralized model enhances peripheral laboratory participation and patient-centered care.

Conclusions:

• The future of laboratory medicine relies on evidence-based reforms integrating technology, systems reorganization, and governance.
• Global-of-care testing aims to promote quality, equitable access, and sustainable precision healthcare.
• Value-Based Laboratory Medicine (VBLM) ensures diagnostics align with health outcomes in a patient-centered ecosystem.