关键词: Access to care Covid-19 Health equity Insurance Laboratory testing Medical devices Point-of-care technologies Survey

来  源:   DOI:10.1016/j.cvdhj.2024.03.002   PDF(Pubmed)

Abstract:
UNASSIGNED: The use of point-of-care (POC) tests prior to the COVID-19 pandemic was relatively infrequent outside of the health care context. Little is known about how public opinions regarding POC tests have changed during the pandemic.
UNASSIGNED: We redeployed a validated survey to uncompensated volunteers to assess preferences for point-of-care testing (POCT) benefits and concerns between June and September 2022. We received a total of 292 completed surveys. Linear regression analysis was used to compare differences in survey average response scores (ARSs) from 2020 to 2022.
UNASSIGNED: Respondent ARSs indicated agreement for all 16 POCT benefits in 2022. Of 14 POCT concerns, there were only 2 statements that respondents agreed with most frequently, which were that \"Insurance might not cover the costs of the POC test\" (ARS 0.9, ± 1.0) and \"POC tests might not provide a definitive result\" (ARS 0.1, ± 1.0). Additionally, when comparing survey responses from 2020 to 2022, we observed 8 significant trends for POCT harms and benefits.
UNASSIGNED: The public\'s opinion on POC tests has become more favorable over time. However, concerns regarding the affordability and reliability of POCT results persist. We suggest that stakeholders address these concerns by developing accurate POC tests that continue to improve care and facilitate access to health care for all.
摘要:
在COVID-19大流行之前,在医疗保健环境之外,使用现场护理(POC)测试相对罕见。对于大流行期间公众对POC测试的看法如何变化知之甚少。
我们向无偿志愿者重新部署了经过验证的调查,以评估2022年6月至9月之间对即时护理测试(POCT)福利和担忧的偏好。我们共收到292份已完成的调查。线性回归分析用于比较2020年至2022年调查平均响应分数(ARSs)的差异。
受访者表示,2022年同意所有16项POCT福利。在14个POCT问题中,受访者最常同意的只有两种说法,其中“保险可能不包括POC测试的费用”(ARS0.9,±1.0)和“POC测试可能无法提供明确的结果”(ARS0.1,±1.0)。此外,在比较2020年至2022年的调查回复时,我们观察到POCT危害和益处的8个显著趋势。
随着时间的推移,公众对POC测试的看法变得更加有利。然而,对POCT结果的可负担性和可靠性的担忧仍然存在。我们建议利益相关者通过开发准确的POC测试来解决这些问题,以继续改善护理并促进所有人获得医疗保健。
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