scholarly journals PNS190 BUSINESS MODELS SUPPORTING THE INTEGRATION OF POINT-OF-CARE TESTING AT THE GENERAL PRACTICE: A COMPARISON OF ENGLAND AND THE NETHERLANDS

2019 ◽  
Vol 22 ◽  
pp. S793
Author(s):  
D. Lingervelder ◽  
E. Koffijberg ◽  
G.C.M. Kusters ◽  
M. IJzerman
Author(s):  
Deon Lingervelder ◽  
Hendrik Koffijberg ◽  
Jon D. Emery ◽  
Paul Fennessy ◽  
Christopher P. Price ◽  
...  

Background: In some countries, such as the Netherlands and Norway, point of care testing (POCT) is more widely implemented in general practice compared to countries such as England and Australia. To comprehend what is necessary to realize the benefits of POCT, regarding its integration in primary care, it would be beneficial to have an overview of the structure of healthcare operations and the transactions between stakeholders (also referred to as value networks). The aim of this paper is to identify the current value networks in place applying to POCT implementation at general practices (GPs) in England, Australia, Norway and the Netherlands and to compare these networks in terms of seven previously published factors that support the successful implementation, sustainability and scale-up of innovations. Methods: The value networks were described based on formal guidelines and standards published by the respective governments, organizational bodies and affiliates. The value network of each country was validated by at least two relevant stakeholders from the respective country. Results: The analysis revealed that the biggest challenge for countries with low POCT uptake was the lack of effective communication between the several organizations involved with POCT as well as the high workload for GPs aiming to implement POCT. It is observed that countries with a single national authority responsible for POCT have a better uptake as they can govern the task of POCT roll-out and management and reduce the workload for GPs by assisting with set-up, quality control, training and support. Conclusion: Setting up a single national authority may be an effective step towards realizing the full benefits of POCT. Although it is possible for day-to-day operations to fall under the responsibility of the GP, this is only feasible if support and guidance are readily available to ensure that the workload associated with POCT is limited and as low as possible.


2009 ◽  
Vol 190 (11) ◽  
pp. 624-626 ◽  
Author(s):  
Tanya K Bubner ◽  
Caroline O Laurence ◽  
Angela Gialamas ◽  
Lisa N Yelland ◽  
Philip Ryan ◽  
...  

BMJ Open ◽  
2015 ◽  
Vol 5 (5) ◽  
pp. e006857-e006857 ◽  
Author(s):  
M. J. C. Schot ◽  
S. van Delft ◽  
A. M. J. Kooijman-Buiting ◽  
N. J. de Wit ◽  
R. M. Hopstaken

2010 ◽  
Vol 60 (572) ◽  
pp. e98-e104 ◽  
Author(s):  
Caroline O Laurence ◽  
Angela Gialamas ◽  
Tanya Bubner ◽  
Lisa Yelland ◽  
Kristyn Willson ◽  
...  

2011 ◽  
Vol 35 (2) ◽  
pp. 230 ◽  
Author(s):  
Rosy Tirimacco ◽  
Briony Glastonbury ◽  
Caroline O. Laurence ◽  
Tanya K. Bubner ◽  
Mark D. Shephard ◽  
...  

Objectives. To describe the development and evaluation of an accreditation program for Point of Care Testing (PoCT) in general practice, which was part of the PoCT in general practice (GP) Trial conducted in 2005–07 and funded by the Australian Government. Setting and participants. Thirty general practices based in urban, rural and remote locations across South Australia, New South Wales and Victoria, which were in the intervention arm of the PoCT Trial were part of the accreditation program. A PoCT accreditation working party was established to develop an appropriate accreditation program for PoCT in GP. A multidisciplinary accreditation team was formed consisting of a medical scientist, a general practitioner or practice manager, and a trial team representative. Methodology and sequence of events. To enable practices to prepare for accreditation a checklist was developed describing details of the accreditation visit. A guide for surveyors was also developed to assist with accreditation visits. Descriptive analysis of the results of the accreditation process was undertaken. Outcomes. Evaluation of the accreditation model found that both the surveyors and practice staff found the process straightforward and clear. All practices (i.e. 100%) achieved second-round accreditation. Discussion and lessons learned. The accreditation process highlighted the importance of ongoing education and support for practices performing PoCT. What is known about the topic? Currently there is no rebate for Point of Care testing in Australia. Before the Australian Government can consider a rebate it has to be shown that PoCT is safe for patient care. Implementation of a quality framework and an accreditation model for PoCT is vital to ensure that clinical care is not compromised by use of this technology. What does this paper add? This paper provides a model for PoCT accreditation that meets requirements of both the GP and scientific community. It reports on the first government-funded PoCT in general practice trial and illustrates what needs to be considered if the Government decides to fund PoCT in general practice. What are the implications for practitioners? Description of a PoCT accreditation process highlights to practitioners what is entailed in following the interim standards for PoCT currently available. This study is an important piece of work as it shows that PoCT in general practice can be performed safely within a quality framework that meets scientific accreditation requirements.


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