‘The doctors were more knowledgeable about what I had’: patient views on the value of point-of-care tests for managing respiratory infections. A qualitative study in European primary care

Point-of-care tests (POCT) can support diagnosis of patients with community-acquired acute respiratory tract infections (CA-RTI) in primary care and thereby reduce uncertainty whether antibiotics may benefit patients. However, successful roll out of POCTs need to be built on a deep understanding of...

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Published in:BJGP open Vol. 9; no. 2; p. BJGPO.2024.0139
Main Authors: Wanat, Marta, Hoste, Melanie Eugenie, Anastasaki, Marilena, Böhmer, Femke, Colliers, Annelies, Gkamaletsou, Maria, Löffler, Christin, Lionis, Christos, Malania, Lile, Shah, Mala, Wollny, Anja, Vellinga, Akke, Butler, Christopher C, van der Velden, Alike W, Anthierens, Sibyl, Tonkin-Crine, Sarah
Format: Journal Article
Language:English
Published: England 01.07.2025
Subjects:
qualitative
point-of-care tests
general practice
ISSN:2398-3795, 2398-3795
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Abstract Point-of-care tests (POCT) can support diagnosis of patients with community-acquired acute respiratory tract infections (CA-RTI) in primary care and thereby reduce uncertainty whether antibiotics may benefit patients. However, successful roll out of POCTs need to be built on a deep understanding of patients' perspectives on the place of POCTs in patient-centred care. To explore patients' perceptions of the value of POCTs during consultations for CA-RTI. A qualitative study using semi-structured interviews in Belgium, Republic of Ireland, Georgia, Germany, Greece, and the UK with patients who consulted for CA-RTI in primary care. Interviews were audio recorded, transcribed, and analysed using reflexive thematic analysis. Interviews with 56 participants revealed that in the process of a GP making a diagnosis and treatment decision, patients valued several components, such as a physical examination, their GP enquiring about and listening to concerns, and a POCT. Yet, the visibility and relative importance of each of these components varied in the four main ways in which patients perceived the value of POCTs, including 1) test as objective evidence compared to 'subjective' clinical judgment; 2) test as providing more precision; 3) test as inferior to clinical judgment; 4) test as one of the tools in the GP's toolbox. The wide variation in patient perceptions about POCT for CA-RTI underscores the importance of recognising patient preferences regarding the diagnostic process. This understanding is important to ensure that POCT results optimally influence treatment decision-making, patient satisfaction, and acceptance of their care plan.
AbstractList Point-of-care tests (POCT) can support diagnosis of patients with community-acquired acute respiratory tract infections (CA-RTI) in primary care and thereby reduce uncertainty whether antibiotics may benefit patients. However, successful roll out of POCTs need to be built on a deep understanding of patients' perspectives on the place of POCTs in patient-centred care. To explore patients' perceptions of the value of POCTs during consultations for CA-RTI. A qualitative study using semi-structured interviews in Belgium, Republic of Ireland, Georgia, Germany, Greece, and the UK with patients who consulted for CA-RTI in primary care. Interviews were audio recorded, transcribed, and analysed using reflexive thematic analysis. Interviews with 56 participants revealed that in the process of a GP making a diagnosis and treatment decision, patients valued several components, such as a physical examination, their GP enquiring about and listening to concerns, and a POCT. Yet, the visibility and relative importance of each of these components varied in the four main ways in which patients perceived the value of POCTs, including 1) test as objective evidence compared to 'subjective' clinical judgment; 2) test as providing more precision; 3) test as inferior to clinical judgment; 4) test as one of the tools in the GP's toolbox. The wide variation in patient perceptions about POCT for CA-RTI underscores the importance of recognising patient preferences regarding the diagnostic process. This understanding is important to ensure that POCT results optimally influence treatment decision-making, patient satisfaction, and acceptance of their care plan.
Author Colliers, Annelies
Wanat, Marta
Malania, Lile
Löffler, Christin
Tonkin-Crine, Sarah
Böhmer, Femke
Hoste, Melanie Eugenie
Gkamaletsou, Maria
Shah, Mala
Anthierens, Sibyl
Vellinga, Akke
Butler, Christopher C
Wollny, Anja
van der Velden, Alike W
Anastasaki, Marilena
Lionis, Christos
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