Evidence map›Paper›PMID 23945264›Full record

SynthesisBMC family practice2013

Primary care clinicians' attitudes towards point-of-care blood testing: a systematic review of qualitative studies.

Caroline H D Jones, Jeremy Howick, Nia W Roberts, Christopher P Price, Carl Heneghan, Annette Plüddemann, Matthew Thompson

Abstract readSystematic Review
In one paragraph

Synthesis in BMC family practice, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

74 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Point-of-care lactate testing for sepsis at presentation to health care: a systematic review of patient outcomes.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017
    Pooled it
  5. Trial
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  7. Article
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  13. Observational
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  15. Point-of-care C-reactive protein testing in general practice out-of-hours services: tool or trap?The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Article
  16. Implementing in-vitro diagnostic point-of-care tests in community health care: how can we make this work?The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Article
  17. Article
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  20. Article

14 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Caroline H D JonesDepartment of Primary Care Health Sciences, University of Oxford, UK. caroline.jones@phc.ox.ac.uk
Jeremy Howick
Nia W Roberts
Christopher P Price
Carl Heneghan
Annette Plüddemann
Matthew Thompson

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPoint-of-care blood tests are becoming increasingly available and could replace current venipuncture and laboratory testing for many commonly used tests. However, at present very few have been implemented in most primary care settings. Understanding the attitudes of primary care clinicians towards these tests may help to identify the barriers and facilitators to their wider adoption. We aimed to systematically review qualitative studies of primary care clinicians' attitudes to point-of-care blood tests.

methodsWe systematically searched Medline, Embase, ISI Web of Knowledge, PsycINFO and CINAHL for qualitative studies of primary care clinicians' attitudes towards point-of-care blood tests in high income countries. We conducted a thematic synthesis of included studies.

resultsOur search identified seven studies, including around two hundred participants from Europe and Australia. The synthesis generated three main themes: the impact of point-of-care testing on decision-making, diagnosis and treatment; impact on clinical practice more broadly; and impact on patient-clinician relationships and perceived patient experience. Primary care clinicians believed point-of-care testing improved diagnostic certainty, targeting of treatment, self-management of chronic conditions, and clinician-patient communication and relationships. There were concerns about test accuracy, over-reliance on tests, undermining of clinical skills, cost, and limited usefulness.

conclusionsWe identified several perceived benefits and barriers regarding point-of-care tests in primary care. These imply that if point-of-care tests are to become more widely adopted, primary care clinicians require evidence of their accuracy, rigorous testing of the impact of introduction on patient pathways and clinical practice, and consideration of test funding.

Indexed as

Attitude of Health PersonnelHealth Knowledge, Attitudes, PracticePoint-of-Care SystemsPrimary Health CareAustraliaDatabases, FactualDeveloping CountriesDiffusion of InnovationEuropeHematologic TestsHumansQualitative ResearchWorkforce

Identifiers

PMID23945264
PMCPMC3751354

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.