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Facilitators and barriers of the implementation of point-of-care devices for cardiometabolic diseases: a scoping review.

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dc.contributor.author Tenorio Mucha, Janeth Marilyn
dc.contributor.author Busta Flores, Patricia Janet
dc.contributor.author Lazo Porras, María de los Ángeles
dc.contributor.author Vetter, Beatrice
dc.contributor.author Safary, Elvis
dc.contributor.author Moran, Andrew E.
dc.contributor.author Gupta, Reena
dc.contributor.author Bernabé Ortiz, Antonio
dc.date.accessioned 2023-05-19T14:08:33Z
dc.date.available 2023-05-19T14:08:33Z
dc.date.issued 2023
dc.identifier.uri https://hdl.handle.net/20.500.12866/13518
dc.description.abstract BACKGROUND: Point-of-care testing (POCT) devices may facilitate the delivery of rapid and timely results, providing a clinically important advantage in patient management. The challenges and constraints in the implementation process, considering different levels of actors have not been much explored. This scoping review aimed to assess literature pertaining to implementation facilitators and barriers of POCT devices for the diagnosis or monitoring of cardiometabolic diseases. METHODS: A scoping review of the literature was conducted. The inclusion criteria were studies on the inception, planning, or implementation of interventions with POCT devices for the diagnosis or monitoring of cardiometabolic diseases defined as dyslipidemia, cardiovascular diseases, type 2 diabetes, and chronic kidney disease. We searched MEDLINE, Embase, and Global Health databases using the OVID searching engine until May 2022. The Consolidated Framework of Implementation Research (CFIR) was used to classify implementation barriers and facilitators in five constructs. Also, patient, healthcare professional (HCP), and organization level was used. RESULTS: Twenty studies met the eligibility criteria for data extraction. All studies except two were conducted in high-income countries. Some findings are: 1) Intervention: the most widely recognized facilitator was the quick turnaround time with which results are obtained. 2) Outer setting: at the organizational level, the lack of clear regulatory and accreditation mechanisms has hindered the adoption and sustainability of the use of POCT. 3) Inner setting: for HCP, performing POCT during the consultation was both a facilitator and a barrier in terms of time, personnel, and service delivery. 4) Individuals: the implementation of POCT may generate stress and discomfort in some HCP in terms of training and new responsibilities. 5) Process: for patients, it is highly appreciated that obtaining the sample was simple and more comfortable if venipuncture was not used. CONCLUSION: This scoping review has described the facilitators and barriers of implementing a POCT device for cardiometabolic conditions using the CFIR. The information can be used to design better strategies to implement these devices and benefit more populations that have low access to cardiometabolic tests. en_US
dc.language.iso eng
dc.publisher BioMed Central
dc.relation.ispartofseries BMC Health Services Research
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Point-of-care testing en_US
dc.subject Noncommunicable diseases en_US
dc.subject Chronic disease en_US
dc.subject Metabolic syndrome en_US
dc.subject Implementation science en_US
dc.subject.mesh Pruebas en el Punto de Atención
dc.subject.mesh Enfermedades no Transmisibles
dc.subject.mesh Enfermedad Crónica
dc.subject.mesh Síndrome Metabólico
dc.subject.mesh Ciencia de la Implementación
dc.title Facilitators and barriers of the implementation of point-of-care devices for cardiometabolic diseases: a scoping review. en_US
dc.type info:eu-repo/semantics/review
dc.identifier.doi https://doi.org/10.1186/s12913-023-09419-2
dc.relation.issn 1472-6963


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