Bio-Innovation in Taiwan, the First Survey of Point-of-Care Professional Needs, and Geospatially Enhanced Resilience in At-Risk Settings

Jesse C. Lin, G. Kost
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引用次数: 4

Abstract

Goals The aims of this article were to report the first Taiwan point-of-care testing (POCT) needs assessment survey, to analyze distance/time/economic metrics for POC diagnosis in Hualien, an eastern seaboard county vulnerable to typhoons, and to recommend national policy and guidelines (P&G) for enhancing POCT and resilience. Methods We organized a Bio-Innovation Symposium at Taiwan National University, before which participants (68) from Taipei and other regions responded to an English/Chinese survey with views on how to implement POCT. We analyzed Hualien County geospatially and compared geometrics with/without POCT. Results Multidisciplinary respondents (34%, 23/68) suggested medical technologists be coordinators responsible for device management, education/training, communications across departments, preparation/maintenance of compliance documents, and performance assurance; 93% suggested P&G cover highly infectious diseases (Ebola, Middle East respiratory syndrome coronavirus, and Zika); and 81% agreed POCT-equipped isolation laboratories are necessary. Ranked priorities for POCT were acute myocardial infarction (34%), infectious diseases (22%), diabetes (21%), acute heart failure (13%), and blood gas/electrolytes (9%). Most (75%) suggested P&G be integrated, created by both local and national agencies (52%). Reliability (29%) and device management (18%) were top priorities. Most (71%) said hospitals should select instruments, whereas medical technologists administrate (59%) and perform (50%) POCT. Conclusions Bio-innovators are enthusiastically creating POC technologies in Taiwan, including low marginal cost assay modules capable of transforming public health paradigms. Geospatial analysis showed that POCT can speed acute response in rural areas of Hualien County. At a national convocation of the Taiwan Association of Medical Technologists, P&G receptivity and support were strong, suggesting Taiwan will publish national POCT P&G. Priorities include rural areas and vulnerable populations.
台湾的生物创新、即时护理专业人员需求与风险环境中地理空间增强的复原力的首次调查
摘要本研究旨在报告台湾首个即时医疗照护检测(POCT)需求评估调查,分析东部沿海易受台风侵袭的花莲县即时医疗照护诊断的距离/时间/经济指标,并为加强即时医疗照护检测和恢复力提供国家政策和指南建议。方法我们在台湾国立大学组织了一次生物创新研讨会,在此之前,来自台北和其他地区的68名参与者对如何实施POCT进行了中英文调查。对花莲县进行了地理空间分析,并比较了有无POCT的几何特征。结果多学科受访者(34%,23/68)建议医疗技术人员作为协调者,负责设备管理、教育/培训、跨部门沟通、合规文件的编制/维护和绩效保证;93%的人建议宝洁覆盖高传染性疾病(埃博拉病毒、中东呼吸综合征冠状病毒和寨卡病毒);81%的人认为配备poct的隔离实验室是必要的。POCT优先考虑的是急性心肌梗死(34%)、传染病(22%)、糖尿病(21%)、急性心力衰竭(13%)和血气/电解质(9%)。大多数人(75%)建议将宝洁整合起来,由地方和国家机构共同创建(52%)。可靠性(29%)和设备管理(18%)是最重要的。大多数人(71%)认为医院应该选择仪器,而医疗技术人员管理(59%)和执行(50%)POCT。台湾的生物创新者正积极开发POC技术,包括能够改变公共卫生范式的低边际成本检测模块。地理空间分析表明,POCT可以加快花莲县农村地区的急性反应。在台湾医疗技术协会的全国会议上,宝洁的接受度和支持度都很强,建议台湾将出版国家POCT宝洁。优先事项包括农村地区和弱势群体。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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