Guidelines for home testing in primary care: Education, integration, information, limitations, and indications

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

The convenience and usefulness of home testing explain its strong economic growth in the 21st century. Rapid, cost-effective, and focused home testing gives patients the ability to detect, monitor, and act on life-threatening diseases and conditions in a timely manner. Patients take ownership of their medical problems and form a partnership with care providers. Education and training allow patients to become proficient. Nurses provide integrated continuity of care from the home to the hospital, and vice-versa. Physicians control treatment and assume responsibility for its outcome. However, home testing relies in part on the patient's own interpretation of test results, which leaves room for error. Thus, the care team follows practical practice guidelines for applications of home testing and adopts clever Web approaches to consolidate test results to minimize oversight and error. We present 5 collaborative practice guidelines and a small-world network concept for home testing that can help improve medical and economic outcomes in primary care settings.

Original languageEnglish (US)
Pages (from-to)145-154
Number of pages10
JournalPoint of Care
Volume5
Issue number4
DOIs
StatePublished - Dec 2006

Fingerprint

Primary Health Care
Guidelines
Education
Practice Guidelines
Medical Economics
Continuity of Patient Care
Economic Development
Ownership
Nurses
Physicians
Costs and Cost Analysis
Therapeutics

Keywords

  • Confidentiality
  • DAT
  • Direct-access testing
  • Evidence-based
  • Internet
  • Mobile and Web telecommunications
  • MWTs
  • Patient compliance
  • PCU
  • POCT
  • Point-of-care testing
  • Primary care unit
  • Self-monitoring
  • Small-world network
  • SWN

ASJC Scopus subject areas

  • Nursing(all)

Cite this

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abstract = "The convenience and usefulness of home testing explain its strong economic growth in the 21st century. Rapid, cost-effective, and focused home testing gives patients the ability to detect, monitor, and act on life-threatening diseases and conditions in a timely manner. Patients take ownership of their medical problems and form a partnership with care providers. Education and training allow patients to become proficient. Nurses provide integrated continuity of care from the home to the hospital, and vice-versa. Physicians control treatment and assume responsibility for its outcome. However, home testing relies in part on the patient's own interpretation of test results, which leaves room for error. Thus, the care team follows practical practice guidelines for applications of home testing and adopts clever Web approaches to consolidate test results to minimize oversight and error. We present 5 collaborative practice guidelines and a small-world network concept for home testing that can help improve medical and economic outcomes in primary care settings.",
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