Spatial care paths™ strengthen links in the chain of global resilience: Disaster caches, prediabetes, ebola virus disease, and the future of point of care

Gerald J Kost, William Ferguson

Research output: Contribution to journalArticlepeer-review

10 Scopus citations


Objective: Point of care (POC) is bogged down because of ineffective biohazard containment, insufficient environmental robustness, test clusters-cartridges unable to target rapidly emerging diseases, unpredictable errors in bedside results, dependence on misleading global parametric rather than local nonparametric statistical analysis, high marginal costs cited without assessing overall value, inadequately funded POC research, regulatory-industry intransigence, dichotomous introduction of new instruments abroad versus the United States, and meager interest in critical global challenges. The objective is to push back on these classic signs of an interrupted paradigm shift. They threaten the future of the field, this journal, and the ultimate goal, to improve medical and economic outcomes. Methods: We offer a geospatial method, Spatial Care Paths™(SCPs), by which a portion of the future of POC can be reinvigorated interactively in cultural context. Outcomes: The Ebola epidemic revealed serious gaps in technology and swiftly changed expectations. Expectations are part of culture. Hence, the future paradigm must embrace POC culture. We provide paradigm refreshing conceptual examples ranging from national disaster caches to diabetes care to outbreaks. We use visual logistics to illustrate the concepts and SCPs. Conclusions: By identifying weak links in the chain of community resilience, SCPs upscale key unfulfilled needs, discover new ideas for innovation-invention, bolster educational outreach, and improve patient access to evidence-based primary, emergency, and hospital care. Strong collaborative initiatives can foster activism in the global community. It is time for insightful leadership and participative outreach to bridge professional disciplines, span different countries, and steward POC into a brilliant new future.

Original languageEnglish (US)
Pages (from-to)43-58
Number of pages16
JournalPoint of Care
Issue number1
StatePublished - 2016


  • Access
  • Acute coronary syndromes
  • Centers for disease control and prevention (CDC)
  • Community resilience
  • Diabetes care
  • Disaster cache
  • Disseminated intravascular coagulation
  • Ebola virus disease (Ebola)
  • Expectations
  • Geographic information system
  • Outcomes
  • Paradigm shift
  • POC culture
  • Point of care (POC)
  • Point of Careology
  • Prediabetes
  • Visual logistics
  • World Health Organization (WHO)

ASJC Scopus subject areas

  • Nursing(all)


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