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Formulating Design Recommendations for the Acceptance of the Use and Results of Point-of-Care Testing in Low- and Middle-Income Countries: A Literature Review

Part of: Methods of Design Research

Published online by Cambridge University Press:  26 July 2019

Yvonne Jolanda Melanie Licher ,
Jan Simon Visser ,
G-Young Van  and
Jan Carel Diehl

Abstract

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In low- and middle-income countries (LMIC), diagnostics are not always available in remote areas. Hospitals and healthcare centres are often too far from the community, and waiting times are up to a few hours even for relatively simple procedures. Moreover, travelling to the healthcare centre and taking the diagnostic test is frequently unaffordable. Point of Care Tests (POCTs) can improve the availability, accessibility and affordability of the diagnostics by providing the test at the time and place of patient care. Although many POCTs have been developed already, there remain challenges to enable the healthcare workers (HCW) and the patients to use the device in practice. In this paper, we aim to provide a systemic overview of the barriers and opportunities for the adoption of use and acceptance of the results of POCTs based on the literature. The barriers and opportunities were clustered into six themes and used to draw out recommendations for the future design.

Keywords

User centred designHuman behaviour in designAcceptancePoint of Care TestRequirements
Type
Article
Information
Proceedings of the Design Society: International Conference on Engineering Design , Volume 1 , Issue 1 , July 2019 , pp. 2795 - 2804
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
Copyright
© The Author(s) 2019

References

Burgess, L. and Sargent, J. (2007), “Enhancing user acceptance of mandated mobile health information systems: The ePO (electronic Point-Of-Care Project) experience”, Paper presented at the Medinfo 2007: Proceedings of the 12th World Congress on Health (Medical) Informatics; Building Sustainable Health Systems.Google Scholar
Chin, C. D., Linder, V. and Sia, S. K. (2012), “Commercialization of microfluidic point-of-care diagnostic devices”, Lab on a Chip, Vol. 12 No. 12, pp. 2118–2134. https://doi.org/10.1039/c2lc21204hGoogle Scholar
Gadd, C. S., Baskaran, P. and Lobach, D. F. (1998), “Identification of design features to enhance utilization and acceptance of systems for Internet-based decision support at the point of care”, Paper presented at the Proceedings of the AMIA Symposium.Google Scholar
Hutchinson, A. B., Corbie-Smith, G., Thomas, S. B., Mohanan, S. and Del Rio, C. (2004), “Understanding the patient's perspective on rapid and routine HIV testing in an inner-city urgent care center”, AIDS Education and prevention, Vol. 16 No. 2, pp. 101–114. https://doi.org/10.1521/aeap.16.2.101.29394Google Scholar
Iwamoto, R., Santos, A. L. R., Chavannes, N., Reis, R. and Diehl, J. C. (2017), “Considerations for an Access-Centered Design of the Fever Thermometer in Low-Resource Settings: A Literature Review”, JMIR human factors, Vol. 4 No. 1. https://doi.org/10.2196/humanfactors.6778Google Scholar
Mourad, N. (2012), “Perceived factors influencing acceptance and adoption of mobile technology by clinicians in practice”, A master thesis submitted to the Faculty of Health Policy and Management at the University of Minnesota.Google Scholar
Nichols, J. H. (2007), “Point of care testing”, Clinics in laboratory medicine, Vol. 27 No. 4, pp. 893–908. https://doi.org/10.1016/j.cll.2007.07.003Google Scholar
Pai, N. P., Vadnais, C., Denkinger, C., Engel, N. and Pai, M. (2012), “Point-of-care testing for infectious diseases: diversity, complexity, and barriers in low-and middle-income countries”, PLoS medicine, Vol. 9 No. 9, p. e1001306. https://doi.org/10.1371/journal.pmed.1001306Google Scholar
Peeling, R. and Mabey, D. (2010), “Point-of-care tests for diagnosing infections in the developing world”, Clinical microbiology and infection, Vol. 16 No. 8, pp. 1062–1069. https://doi.org/10.1111/j.1469-0691.2010.03279.xGoogle Scholar
Peters, D. H., Garg, A., Bloom, G., Walker, D. G., Brieger, W. R. and Rahman, M. H. (2008), “Poverty and access to health care in developing countries”, Annals of the New York Academy of Sciences, Vol. 1136 No. 1, pp. 161–171. https://doi.org/10.1196/annals.1425.011Google Scholar
Price, C. P. (2001), “Regular review: Point of care testing”, BMJ: British Medical Journal, Vol. 322 No. 7297, P. 1285. https://doi.org/10.1136/bmj.322.7297.1285Google Scholar
Ruizendaal, E., Dierickx, S., Grietens, K. P., Schallig, H. D., Pagnoni, F. and Mens, P. F. (2014), “Success or failure of critical steps in community case management of malaria with rapid diagnostic tests: a systematic review”, Malaria journal, Vol. 13 No. 1, p. 229. https://doi.org/10.1186/1475-2875-13-229Google Scholar
Steinhubl, S. R., Muse, E. D. and Topol, E. J. (2015), “The emerging field of mobile health”, Science translational medicine, Vol. 7 No. 283, pp. 283rv283–283rv283. https://doi.org/10.3402/ehtj.v2i0.7082Google Scholar
Wallis, L., Blessing, P., Dalwai, M. and Shin, S. D. (2017), “Integrating mHealth at point of care in low-and middle-income settings: the system perspective”, Global health action, Vol. 10 No. sup3, p. 1327686.Google Scholar
Yager, P., Domingo, G. J. and Gerdes, J. (2008), “Point-of-care diagnostics for global health”, Annual review of biomedical engineering, Vol. 10. https://doi.org/10.1080/16549716.2017.1327686Google Scholar
WHO (2017, July 28), “Integrated community case management of malaria”. Retrieved from http://www.who.int/malaria/areas/community_case_management/overview/en/Google Scholar