The status of point-of-care testing and coordinators in Vietnam: Needs assessment, technologies, education, exchange, and future mission

Thuy Loan Chi Nguyen, Gerald J. Kost

Research output: Contribution to journalArticle

Abstract

Objectives The goals of this study were as follows: (a) to enhance point-of-care testing (POCT) and improve standards of care throughout Vietnam; (b) to educate point-of-care (POC) coordinators who provide leadership, oversight, and quality assurance; and (c) to promote international dialog and knowledge of POCT in limited-resource settings. Methods Needs assessment of 16 provincial hospitals, 2 each randomly chosen from the 8 geographic regions of Vietnam, was performed. In Ho Chi Minh City, 10 referral, 5 provincial, and 7 district hospitals, and 8 community medical stations were surveyed. Emergency and intensive care unit nurses and doctors, and laboratorian were respondents. Results Glucose meters and blood gas analyzers were the most frequent POC devices in the 16 provincial hospitals. Cardiac biomarker, coagulation, and human immunodeficiency tests were the highest needs. Biomedical engineers managed locations and quality. Point-of-care coordinators were deficient. Generally, hospitals with POCT had no laboratory oversight. Users performed POCT without internal or external quality control (QC). In Ho Chi Minh City, coagulation and cardiac biomarker tests were most desired. Conclusions Clinicians were poorly informed about the availability of urgent, emergency department, and bedside POC tests. No provincial hospitals surveyed offered cardiac biomarker testing, despite the high prevalence of acute coronary syndromes. Challenges to the implementation of POCT comprise: (a) the quality assurance burden for non laboratory personnel; (b) limited human resources to support POCT programs, including virtually total absence of POC coordinators; and (c) no national POCT policy and guidelines. To rectify these deficiencies, we recommend fundamental education at all levels, promotion of POC coordinator user groups, heightened awareness of available POCT, and vigorous international exchanges to enhanced standards of care in Vietnam.

Original languageEnglish (US)
Pages (from-to)19-24
Number of pages6
JournalPoint of Care
Volume19
Issue number1
DOIs
StatePublished - Mar 1 2020

Keywords

  • and workshop
  • bedside testing
  • blood gases
  • blood group
  • BNP
  • cardiac troponin I and T
  • CBC
  • coagulation
  • district hospital
  • emergency room
  • evidence-based medicine
  • glucose
  • hematocrit
  • hemoglobin
  • HIV
  • hospital levels
  • Hue City
  • international symposium
  • JCI
  • ketone
  • microbiology
  • mission
  • needs assessment
  • point-of-care testing
  • primary care
  • quality control
  • small-world networks
  • survey
  • The International Organization for Standardization (ISO)
  • value proposition

ASJC Scopus subject areas

  • Nursing(all)

Fingerprint Dive into the research topics of 'The status of point-of-care testing and coordinators in Vietnam: Needs assessment, technologies, education, exchange, and future mission'. Together they form a unique fingerprint.

  • Cite this