Bio-Innovation in Taiwan, the First Survey of Point-of-Care Professional Needs, and Geospatially Enhanced Resilience in At-Risk Settings

Jesse C. Lin, Gerald J Kost

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Goals: The aims of this article were to report the first Taiwan pointof-care testing (POCT) needs assessment survey, to analyze distance/ time/economic metrics for POC diagnosis in Hualien, an eastern seaboard county vulnerable to typhoons, and to recommend national policy and guidelines (P&G) for enhancing POCT and resilience. Methods: We organized a Bio-Innovation Symposium at Taiwan National University, before which participants (68) from Taipei and other regions responded to an English/Chinese survey with views on how to implement POCT. We analyzed Hualien County geospatially and compared geometrics with/without POCT. Results: Multidisciplinary respondents (34%, 23/68) suggested medical technologists be coordinators responsible for device management, education/ training, communications across departments, preparation/maintenance of compliance documents, and performance assurance; 93% suggested P&G cover highly infectious diseases (Ebola,Middle East respiratory syndrome coronavirus, and Zika); and 81% agreed POCT-equipped isolation laboratories are necessary. Ranked priorities for POCTwere acute myocardial infarction (34%), infectious diseases (22%), diabetes (21%), acute heart failure (13%), and blood gas/electrolytes (9%). Most (75%) suggested P&G be integrated, created by both local and national agencies (52%). Reliability (29%) and device management (18%) were top priorities. Most (71%) said hospitals should select instruments, whereas medical technologists administrate (59%) and perform (50%) POCT. Conclusions: Bio-innovators are enthusiastically creating POC technologies in Taiwan, including low marginal cost assay modules capable of transforming public health paradigms. Geospatial analysis showed that POCT can speed acute response in rural areas of Hualien County. At a national convocation of the Taiwan Association ofMedical Technologists, P&G receptivity and support were strong, suggesting Taiwan will publish national POCT P&G. Priorities include rural areas and vulnerable populations.

Original languageEnglish (US)
Pages (from-to)78-88
Number of pages11
JournalPoint of Care
Volume16
Issue number2
DOIs
StatePublished - 2017

Fingerprint

Point-of-Care Systems
Taiwan
Medical Laboratory Personnel
Communicable Diseases
Cyclonic Storms
Equipment and Supplies
Needs Assessment
Vulnerable Populations
Rural Population
Electrolytes
Compliance
Heart Failure
Public Health
Gases
Myocardial Infarction
Communication
Maintenance
Economics
Surveys and Questionnaires
Guidelines

Keywords

  • acute coronary syndromes
  • empowerment
  • evidence-based medicine (EBM)
  • geographic information systems (GIS)
  • geospatial sciences
  • Hualien County
  • innovation
  • invention
  • microeconomics
  • point of careology
  • primary care
  • small-world network (SWN)
  • telemedicine

ASJC Scopus subject areas

  • Nursing(all)

Cite this

@article{dcea41d8595948e6a8701b9822f49c5f,
title = "Bio-Innovation in Taiwan, the First Survey of Point-of-Care Professional Needs, and Geospatially Enhanced Resilience in At-Risk Settings",
abstract = "Goals: The aims of this article were to report the first Taiwan pointof-care testing (POCT) needs assessment survey, to analyze distance/ time/economic metrics for POC diagnosis in Hualien, an eastern seaboard county vulnerable to typhoons, and to recommend national policy and guidelines (P&G) for enhancing POCT and resilience. Methods: We organized a Bio-Innovation Symposium at Taiwan National University, before which participants (68) from Taipei and other regions responded to an English/Chinese survey with views on how to implement POCT. We analyzed Hualien County geospatially and compared geometrics with/without POCT. Results: Multidisciplinary respondents (34{\%}, 23/68) suggested medical technologists be coordinators responsible for device management, education/ training, communications across departments, preparation/maintenance of compliance documents, and performance assurance; 93{\%} suggested P&G cover highly infectious diseases (Ebola,Middle East respiratory syndrome coronavirus, and Zika); and 81{\%} agreed POCT-equipped isolation laboratories are necessary. Ranked priorities for POCTwere acute myocardial infarction (34{\%}), infectious diseases (22{\%}), diabetes (21{\%}), acute heart failure (13{\%}), and blood gas/electrolytes (9{\%}). Most (75{\%}) suggested P&G be integrated, created by both local and national agencies (52{\%}). Reliability (29{\%}) and device management (18{\%}) were top priorities. Most (71{\%}) said hospitals should select instruments, whereas medical technologists administrate (59{\%}) and perform (50{\%}) POCT. Conclusions: Bio-innovators are enthusiastically creating POC technologies in Taiwan, including low marginal cost assay modules capable of transforming public health paradigms. Geospatial analysis showed that POCT can speed acute response in rural areas of Hualien County. At a national convocation of the Taiwan Association ofMedical Technologists, P&G receptivity and support were strong, suggesting Taiwan will publish national POCT P&G. Priorities include rural areas and vulnerable populations.",
keywords = "acute coronary syndromes, empowerment, evidence-based medicine (EBM), geographic information systems (GIS), geospatial sciences, Hualien County, innovation, invention, microeconomics, point of careology, primary care, small-world network (SWN), telemedicine",
author = "Lin, {Jesse C.} and Kost, {Gerald J}",
year = "2017",
doi = "10.1097/POC.0000000000000134",
language = "English (US)",
volume = "16",
pages = "78--88",
journal = "Point of Care",
issn = "1533-029X",
publisher = "Lippincott Williams and Wilkins",
number = "2",

}

TY - JOUR

T1 - Bio-Innovation in Taiwan, the First Survey of Point-of-Care Professional Needs, and Geospatially Enhanced Resilience in At-Risk Settings

AU - Lin, Jesse C.

AU - Kost, Gerald J

PY - 2017

Y1 - 2017

N2 - Goals: The aims of this article were to report the first Taiwan pointof-care testing (POCT) needs assessment survey, to analyze distance/ time/economic metrics for POC diagnosis in Hualien, an eastern seaboard county vulnerable to typhoons, and to recommend national policy and guidelines (P&G) for enhancing POCT and resilience. Methods: We organized a Bio-Innovation Symposium at Taiwan National University, before which participants (68) from Taipei and other regions responded to an English/Chinese survey with views on how to implement POCT. We analyzed Hualien County geospatially and compared geometrics with/without POCT. Results: Multidisciplinary respondents (34%, 23/68) suggested medical technologists be coordinators responsible for device management, education/ training, communications across departments, preparation/maintenance of compliance documents, and performance assurance; 93% suggested P&G cover highly infectious diseases (Ebola,Middle East respiratory syndrome coronavirus, and Zika); and 81% agreed POCT-equipped isolation laboratories are necessary. Ranked priorities for POCTwere acute myocardial infarction (34%), infectious diseases (22%), diabetes (21%), acute heart failure (13%), and blood gas/electrolytes (9%). Most (75%) suggested P&G be integrated, created by both local and national agencies (52%). Reliability (29%) and device management (18%) were top priorities. Most (71%) said hospitals should select instruments, whereas medical technologists administrate (59%) and perform (50%) POCT. Conclusions: Bio-innovators are enthusiastically creating POC technologies in Taiwan, including low marginal cost assay modules capable of transforming public health paradigms. Geospatial analysis showed that POCT can speed acute response in rural areas of Hualien County. At a national convocation of the Taiwan Association ofMedical Technologists, P&G receptivity and support were strong, suggesting Taiwan will publish national POCT P&G. Priorities include rural areas and vulnerable populations.

AB - Goals: The aims of this article were to report the first Taiwan pointof-care testing (POCT) needs assessment survey, to analyze distance/ time/economic metrics for POC diagnosis in Hualien, an eastern seaboard county vulnerable to typhoons, and to recommend national policy and guidelines (P&G) for enhancing POCT and resilience. Methods: We organized a Bio-Innovation Symposium at Taiwan National University, before which participants (68) from Taipei and other regions responded to an English/Chinese survey with views on how to implement POCT. We analyzed Hualien County geospatially and compared geometrics with/without POCT. Results: Multidisciplinary respondents (34%, 23/68) suggested medical technologists be coordinators responsible for device management, education/ training, communications across departments, preparation/maintenance of compliance documents, and performance assurance; 93% suggested P&G cover highly infectious diseases (Ebola,Middle East respiratory syndrome coronavirus, and Zika); and 81% agreed POCT-equipped isolation laboratories are necessary. Ranked priorities for POCTwere acute myocardial infarction (34%), infectious diseases (22%), diabetes (21%), acute heart failure (13%), and blood gas/electrolytes (9%). Most (75%) suggested P&G be integrated, created by both local and national agencies (52%). Reliability (29%) and device management (18%) were top priorities. Most (71%) said hospitals should select instruments, whereas medical technologists administrate (59%) and perform (50%) POCT. Conclusions: Bio-innovators are enthusiastically creating POC technologies in Taiwan, including low marginal cost assay modules capable of transforming public health paradigms. Geospatial analysis showed that POCT can speed acute response in rural areas of Hualien County. At a national convocation of the Taiwan Association ofMedical Technologists, P&G receptivity and support were strong, suggesting Taiwan will publish national POCT P&G. Priorities include rural areas and vulnerable populations.

KW - acute coronary syndromes

KW - empowerment

KW - evidence-based medicine (EBM)

KW - geographic information systems (GIS)

KW - geospatial sciences

KW - Hualien County

KW - innovation

KW - invention

KW - microeconomics

KW - point of careology

KW - primary care

KW - small-world network (SWN)

KW - telemedicine

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DO - 10.1097/POC.0000000000000134

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JF - Point of Care

SN - 1533-029X

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