The Research Question Title: Current and future use of point-of-care test in primary care: an international survey in Australia, Belgium, the Netherlands,

Slides:

Advertisements

Similar presentations

Respiratory tract infections - antibiotic prescribing

Advertisements

Oxygen Therapy & Adjuncts

Middle East Respiratory Syndrome (Coronavirus) Middle East Respiratory Syndrome (MERS) is viral respiratory illness first reported in Saudi Arabia in 2012.

Introduction and purpose European guidelines for treating acute cough/lower respiratory tract infection (LRTI) aim to reduce non-evidence based variation.

1 Acute Cough Definitions of Lower Respiratory Tract Infections (LRTI), ranging in severity: Acute bronchitis - an acute respiratory tract infection in.

G aps, challenges and opportunities Theo Verheij University Medical Center Utrecht Lower Respiratory Tract Infections in Primary Care.

RESPIRATORY TRACT INFECTIONS: ANTIBIOTIC PRESCRIBING

How can new diagnostic methods contribute in healthcare? What are doctors looking for? Better support in their clinical decision makings, which includes:

Severity assessment for lower respiratory tract infections: potential use and validity of CRB-65 in primary care N. Francis, J. Cals, C. Butler, K. Hood,

CHAMP Physician Education is Essential in Improving Antibiotic Use in Primary Care: review of behavioural interventions Alike van der Velden Marijke Kuyvenhoven.

GENOMICS TO COMBAT RESISTANCE AGAINST ANTIBIOTICS IN COMMUNITY-ACQUIRED LRTI IN EUROPE (GRACE) H. Goossens (Coordinator), K. Loens (Manager), M. Ieven.

Standard 2. Diagnosis The registered nurse analyzes the assessment data to determine the diagnosis or the issues.

Using Outcomes and other Assessment Tools to Improve Quality Quality Improvement.

Chronic Disease Tracking System  Problem  The current healthcare model focuses on one patient at a time in the office.  Chronic disease leads to higher.

@jochencals IPCRG Amsterdam

An AKI project for critically ill cancer patients

What’s New? The top ten research topics chosen by community clinicians NAPCRG PEARLS for Clinicians from those presented at NAPCRG 2013 Nine David.

The 3C cohort study of LRTI in primary care

Cindy Parypa Patient Engagement Facilitator April 2016

Point-of-care C-reactive protein testing to reduce inappropriate use of antibiotics for non-severe acute respiratory infections in Vietnamese primary.

The Research Question Use of Antidepressants in Patients with Depression and Cardiometabolic Disease Bhautesh Jani, David Purves, Sarah Barry, Colin McCowan,

Trap B and Hansen EH Euro Health Group, Denmark &

Dr Paul T Francis, MD Community Medicine College of Medicine, Zawia

Small-particle Inhaled Corticosteroid as First-line or Step-up Controller Therapy in Childhood Asthma Willem M.C. van Aalderen, MD, PhD, Jonathan Grigg,

Treating Alcohol Abuse

Providing sustainable resilient primary care

Valley Fever (Coccidioidomycosis) Incidence of Valley Fever in the US.

Rapid Response Julie Symonds – Clinical Lead

Inequity in contraceptive care between migrants and native women?

Point-of-care C-reactive protein testing to reduce inappropriate use of antibiotics for non-severe acute respiratory infections in Vietnamese primary.

An Empiric Integrative Approach to the Management of Cough

Tjukanov, Nina; Tiittala, Paula; Salmi, Heli

The Research Question The Reduction in ED and Hospital Admissions From Medical Home Practices is Specific to Primary-Care-Sensitive Chronic Conditions.

The Research Question The potential role of NT-proBNP in screening for heart failure and in predicting prognosis Richard Hobbs, Care Taylor, Andrea Roalfe,

The Research Question Can a childhood obesity behavior modification program be implemented in primary care practices? Can participation in a childhood.

Does an Increase in Opioid Dose lead to an Increase in Depression?

NAPCRG “Pearls” What’s New

The Research Question PCMH Transformation

The Research Question Systematic review of the diagnostic accuracy of capillary refill time for serious illness in children S Fleming, P Gill, C Jones,

The Research Question To examine which patient- and context-related factors impact the antidepressant efficacy of exercise in the real clinical world,

The Research Question Does longer duration of prescription opioid use lead to new onset depression when controlling for maximum daily dose, pain and other.

The Research Question Does Cardiovascular Risk Predict Statin Use?

The Research Question In non-asthmatic adults presenting to primary care with acute lower respiratory tract infection and not requiring immediate antibiotics.

Outcomes of a randomized trial for multimorbidity - the TrueBlue study

The Research Question Helping Patients Reach a Balanced Understanding of Controversial Cancer Screening Recommendations: The Impossible Dream? B Saver,

Medical and psychosocial factors associated with antibiotic prescribing in primary care: survey questionnaire and factor analysis by Tau-Hong Lee, Joshua.

By the Right Professional

To Dip Or Not To Dip – Improving the management of Urinary Tract Infection in older people Improving Patient Safety & Care 6th Feb 2019 Continuous Learning,

Childhood urinary tract infection in primary care: a prospective observational study of prevalence, diagnosis, treatment, and recovery by Christopher C.

Terje P. Hagen Department of Health Management and Health Economics,

Change from baseline in (A) E-RS total score and (B) E-RS cough and sputum domain score over the study period in ATTAIN and the active-comparator study.

From TB control to integrated respiratory disease control

Volume 382, Issue 9899, Pages (October 2013)

An Empiric Integrative Approach to the Management of Cough

Amoxicillin for acute lower-respiratory-tract infection in primary care when pneumonia is not suspected: a 12-country, randomised, placebo-controlled.

Prevalence of urinary tract infection in acutely unwell children in general practice: a prospective study with systematic urine sampling by Kathryn O’Brien,

Delayed antibiotic prescribing and associated antibiotic consumption in adults with acute cough by Nick A Francis, David Gillespie, Jacqueline Nuttall,

Ambitions and Trajectories

Volume ():bjgpmar tau-hong_lee-fl-p

The Research Question Autoinflation as a treatment of Otitis Media with Effusion in primary care: a randomized controlled trial Williamson I, Vennik J,

Expectations for consultations and antibiotics for respiratory tract infection in primary care: the RTI clinical iceberg by Cliodna AM McNulty, Tom Nichols,

Antibiotics for acute cough: an international observational study of patient adherence in primary care by Nick A Francis, David Gillespie, Jacqueline Nuttall,

Illustrative Performance Improvement Targets

Clinical predictors of antibiotic prescribing for acutely ill children in primary care: an observational study by Kathryn O’Brien, Thomas Wyn Bellis, Mark.

The Research Question Performance of a Rapid Influenza Detection Test (RIDT) in Ambulatory Primary Care Wisconsin: Temte JL, Barlow S, Greene.

An introduction and update Richard Hatchett Manchester: November 2006

The Research Question Continuity of care: does having the same primary care provider over time matter? S.T. Wong, A. Katz, Peterson, S., & Taylor, C. Does.

The Research Question Clinical concern around iron deficiency anemia in young children centres on its association with poorer neurodevelopmental outcomes.

Trap B and Hansen EH Euro Health Group

Cost effectiveness of amoxicillin for lower respiratory tract infections in primary care: an economic evaluation accounting for the cost of antimicrobial.

Presentation transcript:

The Research Question Title: Current and future use of point-of-care test in primary care: an international survey in Australia, Belgium, the Netherlands, the United Kingdom, and the United States Jeremy Howick & 16 other authors from 5 countries The Question: Which point of care (POC) tests do primary care clinicians use and which tests would they like to use in the future? Why this is important? Little is known about which clinical conditions Primary Care clinicians identify as priorities for these tests We aimed to determine patterns of current use of POCTs by General Practitioners (Family Doctors), and clinical conditions identified as priorities for future development and implementation for diagnosis, monitoring, and referral Tests identified as important in this survey have the potential to improve healthcare BP34 Adherence to Antibiotic Prescribing for LRTI and Association With Recovery (Oral Presentation On Completed Research) Nick Francis, MD, PhD, Cardiff University; David Gillespie; Jacqueline Nuttall; Paul Little; Theo Verheij; Samuel Coenen; Jochen Cals; Kerenza Hood; Herman Goossens; Christopher Butler

What the Researchers Did Subjects/Design: Cross-sectional survey of 2770 primary care clinicians in Australia, Belgium (Flanders), the Netherlands, the United Kingdom, and the United States Method We asked respondents to : Identify conditions for which POC tests could help them inform diagnosis Evaluate (from a list we provided) which POC tests they currently use Evaluate (from the same list) which POC test they would like to use in the future aged ≥18 years, consulting with an illness where an acute or worsened cough was the main or dominant symptom, or had a clinical presentation that suggested a lower respiratory tract infection that had been present for ≥28 days.

What the Researchers Found Conditions prioritized for POCT were acute conditions (infections, acute cardiac disease, pulmonary embolism/deep vein thrombosis), and some chronic conditions (diabetes, anemia). Most commonly used tests currently are urine pregnancy, urine leukocytes or nitrite, and blood glucose. The most commonly reported tests respondents expressed desire for use: D-dimer, troponin, and chlamydia. The United Kingdom and United States reported a higher actual and desired use for POC tests than Australia, Belgium, and the Netherlands.

What This Means for Clinical Practice Current use of POCT is generally limited, but differences exist between countries Primary care doctors in all 5 countries indicated desire for POCT use for range of acute and chronic conditions. Introducing cost-effective POC tests has the potential to reduce healthcare costs and improve patient care.