Point-of-care testing for haemoglobin A1c in remote Australian Indigenous communities improves timeliness of diabetes care

Spaeth, Brooke; Shephard, Mark Douglas; Schatz, Steven

doi:10.22605/rrh2849

Cited by 14 publications

(5 citation statements)

References 8 publications

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“…The analytical quality of POC testing in this program has been shown to be equivalent to that of Australasian laboratories and has met profession-derived analytical benchmarks for the past 20 years for both haemoglobin A1c (HbA1c) and urine albumin:creatinine ratio (UACR) [7,8]. Statistically significant improvements in glycaemic control have been observed in First Nations patients with diabetes both within and between communities [9,10]. The QAAMS Program has led to health policy change, whereby POC testing is now embedded into pathways for the diagnosis and management of First Nations people with diabetes.…”

Section: Poc Testing In Australiamentioning

confidence: 89%

Point-of-Care Testing in Rural and Remote Australia: An Emerging Technology to Address Global Health Challenges, Crises and Security

Shephard,

Matthews,

Causer

et al. 2024

Sustainable Development

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Point-of-care (POC) testing enables rapid pathology results to be utilised in primary care settings for timely clinical decision-making and treatment during a patient consultation and can contribute to public health surveillance and responses. Large-scale POC testing networks (supporting 100 or more rural and remote health services) now operate for chronic, acute and infectious diseases across the length and breadth of Australia. Sound operator training, quality management and digital connectivity systems, in addition to strong clinical and cultural governance, underpin these networks, mitigate risks to patient safety, and facilitate scalability. Real-world examples from our Australian-based POC testing networks highlight how contemporary global health problems, such as diabetes, acute medical crises and the COVID-19 pandemic response can be addressed by the judicious application of POC testing in primary care settings. The recent role POC testing played in supporting First Nations communities of Australia during the pandemic serves as a template for and provides learned experiences that can be translated or adapted to other countries should or when future global security issues arise. The potential to use POC testing as an adjunctive diagnostic tool to support and enhance global health security needs to be balanced against the limitations of using this innovative technology.

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Section: Poc Testing In Australiamentioning

confidence: 89%

Point-of-Care Testing in Rural and Remote Australia: An Emerging Technology to Address Global Health Challenges, Crises and Security

Shephard,

Matthews,

Causer

et al. 2024

Sustainable Development

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“…Hemoglobin (Hb) monitoring in patients undergoing home therapies is fundamental to increase overall quality of life and to prevent pathologies such as anemia, which may further exacerbate the overall clinical situation. To date, most of the POC solutions available in the literature and on the market aim to quantify hemoglobin in its glycated form [ 11 , 12 , 13 , 14 , 15 ] as a novel tool for diabetes early monitoring in a home setting. The gold standard for Hb quantification in patients is based on diverse methods, such as visual methods (Sahli’s, Dare, Haden, Wintrobe, Tallqvist), spectrophotometric methods (oxyhemoglobin, cyanmethemoglobin, gasometric, automated hemoglobinometry), or other methods (Alkaline-hematin, specific gravity, Lovibond comparator, copper-sulfate, HemoCue and automated hematology analyzers) [ 16 ].…”

Section: Point-of-care Diagnostics For Cbc Detectionmentioning

confidence: 99%

Last Trends in Point-of-Care (POC) Diagnostics for the Management of Hematological Indices in Home Care Patients

et al. 2023

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Today, complete blood count (CBC) analyses are highly automated and allow for high throughput and accurate and reliable results. However, new analytical tools are in great demand to provide simple, rapid and cost-effective management of hematological indices in home care patients. Chronic disease monitoring at home has become a benefit for patients who are finding cost savings in programs designed to monitor/treat patients in offsite locations. This review reports the latest trends in point-of-care (POC) diagnostics useful for home testing of key hematological counts that may be affected during home therapy treatment.

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“…Later, a statistically significant reduction in HbA1c of 2.7% was observed in a cohort of 40 diabetes patients across the NT who had access to POC testing in QAAMS for 15 months, while no significant reduction in HbA1c was seen in these patients when laboratory testing was used as part of their care for the 15 months prior to POC testing. In addition, the mean turnaround time for HbA1c test results was 42 hours when laboratory services were used and less than 10 minutes for POC testing, while the mean time for patient follow-up and clinical consultation was 24 days following laboratory testing and less than 15 minutes post the implementation of POC testing [23].…”

Section: Assessment Of Clinical Effectivenessmentioning

confidence: 99%

Pathology Testing at the Point of Patient Care: Transformational Change for Rural Communities

Shephard¹,

Matthews²,

Markus³

et al. 2023

Rural Health - Investment, Research and Implications

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Point-of-care (POC) testing is an innovative and revolutionary in vitro diagnostic (IVD) technology that enables the real-time conduct of pathology testing during a patient consultation, facilitating immediate clinical action. When conducted under a quality-assured framework, POC testing is an essential diagnostic tool, and is now well embedded, in primary health care settings in rural communities around the world. POC testing helps bridge the gap in health equity access that exists in geographically isolated rural communities and empowers patients to invest in understanding and improving their own health literacy. Using POC testing networks for chronic, acute and infectious diseases that are currently operating in rural and remote Australia, this chapter explores the operational, clinical and economic benefits that POC testing can deliver, and the lessons learned that have contributed to continuously improved quality of POC testing service delivery. Investment in POC testing and infrastructure by Australian governments, both federal and state, has reaped significant rewards for patients in rural communities. Additionally, translational research in this field has provided insight into how POC testing can be successfully scaled up for broad application in low- and middle-income countries.

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Point-of-care testing for haemoglobin A1c in remote Australian Indigenous communities improves timeliness of diabetes care

Cited by 14 publications

References 8 publications

Point-of-Care Testing in Rural and Remote Australia: An Emerging Technology to Address Global Health Challenges, Crises and Security

Point-of-Care Testing in Rural and Remote Australia: An Emerging Technology to Address Global Health Challenges, Crises and Security

Last Trends in Point-of-Care (POC) Diagnostics for the Management of Hematological Indices in Home Care Patients

Pathology Testing at the Point of Patient Care: Transformational Change for Rural Communities

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