Sorry I misssed most of this debate due to A/L. Without any doubt quality of results must be proved and maintained as with all analyses. As pointed out POCT was originally to provide immediate data which could instantly alter the clinical management of a patient and Gases and Glucose were mentioned.
But there can be value in POCT as "Patient Orientated Convenience Testing" when used in the proper context and with appropriate expert, (Laboratory staff), input. In Bradford we have had HbA1C measurements in GP practices for many years so that the patient process can be simplified and repeat visits to GP practices minimised. When used as intended this can save money in repeat visits as well making it more convenient, (efficient), for both the patient and the GP Practice. We will shortly be moving to POCT for the INR clinics to speed up patient throughput. I believe in Manchester the Metabolic Physicians are using continuous sub-cutaneous glucose monitoring to avoid bringing patients into Hospital. The intention being it is more convenient, (comfortable), for patients and there carers and saves Hospital bed time and money.
Uncontrolled use of POCT in any context is wrong but lets not dismiss it without thinking about all
aspects of it which include convenience and cost as well as better clinical management for patients.
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