Here's the problem:
1 We want very high consistency in glycated haemoglobin analysis across
the patch: primary, secondary and tertiary care.
2 We are considering assaying glycated haemoglobin, total and HDL
cholesterol, triglycerides and creatinine during the clinic visit for
patients with diabetes. This could be at three sites,
3 Capital and revenue costs need to be as low as possible
4 Relentless increase in requests for glycated haemoglobin analysis
from primary care
Because of 1 my first thought was "laboratory-type" analysers for
glycated haemoglobin on trolleys which could be used in the laboratory
and wheeled down and used PoCT in the clinics. This would give high
consistency and low cost but won't give the extended repertoire.
Air tubes + in-laboratory analysis alone won't solve the problem
because one site doesn't have an on-site laboratory and another doesn't
have enough air tubes.
Will we inevitably end up with different methods used in the laboratory
and clinic?
I have a feeling we are not alone in having this problem. Does any one
have good solutions they could share?
Thanks
Jonathan
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