Craig M Lilly1,2,3,4,5, Emily Ensom3, Sean Teebagy3, Danielle DiMezza3, Denise Dunlap6,7, Nathaniel Hafer3,8,9, Bryan Buchholz6,10, David McManus1,3,5. 1. Department of Medicine, University of Massachusetts Medical School. 2. Department of Anesthesiology, and Surgery, University of Massachusetts Medical School. 3. University of Massachusetts Medical School. 4. Graduate School of Biomedical Sciences, University of Massachusetts Medical School. 5. UMass Memorial Health Care, Memorial Medical Center, Worcester. 6. University of Massachusetts Lowell. 7. Manning School of Business, University of Massachusetts Lowell, Lowell. 8. UMass Center for Clinical and Translational Science. 9. Program in Molecular Medicine, University of Massachusetts Medical School, Worcester. 10. Department of Biomedical Engineering, University of Massachusetts Lowell, Lowell, MA.
Abstract
BACKGROUND: Studies of current opinion of our community members for the characteristics, mode, and location of use, use cases, and overall enthusiasm for point-of-care testing (POCT) diagnosis and management tools are needed. STUDY DESIGN AND METHODS: Qualitative research methods were used to develop, refine, and evaluate hardcopy and electronic versions of a 45-item English language survey. The accuracy of the instrument was measured by recorded structured interview, and its precision was measured by comparison to its administration to a group of uncompensated volunteers. MAIN FINDINGS AND RESULTS: Comparison of survey and structured interview data demonstrated high levels of accuracy. Highly concordant with significant levels of correlation and of direct association indicated favorable precision. Ninety-three percent of respondents believed that POCT could improve their care, and 56% identified having a POCT in their home as a top priority. Accuracy, insurance coverage, immediacy of results, and ease of use were identified as the most important characteristics of a POCT. CONCLUSIONS: Community members strongly support the development of accurate, in-home devices that produce immediate results that can be used to diagnose, manage, and encourage their adherence to treatments for their medical conditions.
BACKGROUND: Studies of current opinion of our community members for the characteristics, mode, and location of use, use cases, and overall enthusiasm for point-of-care testing (POCT) diagnosis and management tools are needed. STUDY DESIGN AND METHODS: Qualitative research methods were used to develop, refine, and evaluate hardcopy and electronic versions of a 45-item English language survey. The accuracy of the instrument was measured by recorded structured interview, and its precision was measured by comparison to its administration to a group of uncompensated volunteers. MAIN FINDINGS AND RESULTS: Comparison of survey and structured interview data demonstrated high levels of accuracy. Highly concordant with significant levels of correlation and of direct association indicated favorable precision. Ninety-three percent of respondents believed that POCT could improve their care, and 56% identified having a POCT in their home as a top priority. Accuracy, insurance coverage, immediacy of results, and ease of use were identified as the most important characteristics of a POCT. CONCLUSIONS: Community members strongly support the development of accurate, in-home devices that produce immediate results that can be used to diagnose, manage, and encourage their adherence to treatments for their medical conditions.
Entities:
Keywords:
laboratory testing; medical devices; point-of-care technologies
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