Evidence map›Paper›PMID 39558237›Full record

ArticleBMC infectious diseases2024

Pre-market health systems barriers and enablers to infectious diseases point-of-care diagnostics in Australia: qualitative interviews with key informants.

Lise Lafferty, Tanya L Applegate, Sophie Lewis, Kerryn Drysdale, Robert Monaghan, Angela Kelly-Hanku, Rebecca Guy, Carla Treloar

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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

8 authors.

Lise LaffertyCentre for Social Research in Health, UNSW Sydney, Sydney, Australia. l.lafferty@unsw.edu.au.
Tanya L ApplegateThe Kirby Institute, UNSW Sydney, Sydney, Australia.
Sophie LewisSydney School of Health Sciences, University of Sydney, Sydney, Australia.
Kerryn DrysdaleCentre for Social Research in Health, UNSW Sydney, Sydney, Australia.
Robert MonaghanThe Kirby Institute, UNSW Sydney, Sydney, Australia.
Angela Kelly-HankuThe Kirby Institute, UNSW Sydney, Sydney, Australia.
Rebecca GuyThe Kirby Institute, UNSW Sydney, Sydney, Australia.
Carla TreloarCentre for Social Research in Health, UNSW Sydney, Sydney, Australia.

Funding

National Health and Medical Research Council APP1135247
6 · The paper itself

Abstract

backgroundThere exist multiple regulatory layers for point-of-care (POC) testing to be implemented within Australia. This qualitative analysis sought to understand the pre-market barriers and facilitators to scale-up infectious diseases POC testing in primary care settings at the national level.

methodsKey informant interviews were undertaken with people (n = 30) working in high- level positions relevant to infectious diseases POC testing in Australia. Participants were recruited from federal and state health departments, industry, and nongovernment national peak bodies. The Unitaid scalability framework informed this analysis to understand barriers and enablers to creating access conditions and establishing country readiness for market access of POC tests.

resultsParticipants identified regulatory frameworks as significant barriers to market access. National strategies and advocacy were viewed as potential enablers to establishing country readiness. It was recommended that the national system for universal health care should fund infectious disease POC tests to ensure financial sustainability, though the existing pathology infrastructure was regarded as a likely inhibitor.

conclusionsCurrent regulatory frameworks inhibit market access for infectious disease POC testing devices for use in the primary care setting. National advocacy is urgently needed to gain government support and align national policies with regulatory frameworks.

Indexed as

Communicable DiseasesPoint-of-Care SystemsAustraliaHumansInterviews as TopicPoint-of-Care TestingPrimary Health CareQualitative ResearchInfectious diseasesPoint-of-care testingQualitative researchRegulatory frameworksSustainability

Identifiers

PMID39558237
PMCPMC11575463

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.