Document Detail

Systematic review of near patient test evaluations in primary care.
MedLine Citation:
PMID:  10496828     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To identify and qualitatively synthesise the findings from all studies that have examined the performance and effect of near patient tests in the primary care setting.
DESIGN: Systematic review of published and unpublished research 1986-99.
MAIN OUTCOME MEASURES: Test performance characteristics, measures of effect on clinical practice or patient outcome.
RESULTS: 101 relevant publications were identified. The general quality of these papers was low, and consequently only 32 papers were assessed in detail. Although these papers gave some indication of the value of near patient testing in areas such as anticoagulation monitoring and group A beta haemolytic streptococcus testing, the research raised many more questions than it answered. Almost no reports were found of unbiased assessment of the effect of near patient tests in primary care on patient outcomes, organisational outcomes, or cost.
CONCLUSIONS: Available research provides little evidence to guide the expansion of use of near patient testing in primary care. Further research is needed in areas of clinical practice where near patient tests might be most beneficial.
B C Delaney; C J Hyde; R J McManus; S Wilson; D A Fitzmaurice; S Jowett; R Tobias; G H Thorpe; F D Hobbs
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  BMJ (Clinical research ed.)     Volume:  319     ISSN:  0959-8138     ISO Abbreviation:  BMJ     Publication Date:  1999 Sep 
Date Detail:
Created Date:  1999-11-01     Completed Date:  1999-11-01     Revised Date:  2014-07-29    
Medline Journal Info:
Nlm Unique ID:  8900488     Medline TA:  BMJ     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  824-7     Citation Subset:  AIM; IM    
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MeSH Terms
Multicenter Studies as Topic
Point-of-Care Systems / standards*
Primary Health Care / standards*
Quality of Health Care
Randomized Controlled Trials as Topic
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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