Co-creation process of an intervention to implement a multiparameter point-of-care testing device in a primary healthcare setting for non-communicable diseases in Peru
Abstract Background Point-of-care testing (POCT) devices are diagnostic tools that can provide quick and accurate results within minutes, making them suitable for diagnosing non-communicable diseases (NCDs). However, these devices are not widely implemented in healthcare systems and for this reason...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-03-01
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| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-024-10809-3 |
| _version_ | 1797233670157762560 |
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| author | Leonardo Albitres-Flores Silvana Perez-Leon Antonio Bernabe-Ortiz Janeth Tenorio-Mucha Maria Kathia Cardenas Beatrice Vetter Elvis Safary Ricardo Gamboa Vicente Cordova Reena Gupta Andrew Moran David Beran María Lazo-Porras |
| author_facet | Leonardo Albitres-Flores Silvana Perez-Leon Antonio Bernabe-Ortiz Janeth Tenorio-Mucha Maria Kathia Cardenas Beatrice Vetter Elvis Safary Ricardo Gamboa Vicente Cordova Reena Gupta Andrew Moran David Beran María Lazo-Porras |
| author_sort | Leonardo Albitres-Flores |
| collection | DOAJ |
| description | Abstract Background Point-of-care testing (POCT) devices are diagnostic tools that can provide quick and accurate results within minutes, making them suitable for diagnosing non-communicable diseases (NCDs). However, these devices are not widely implemented in healthcare systems and for this reason is relevant to understand the implementation process. Aim To describe the process and define a strategy to implement a multiparameter POCT device for diagnosing and managing NCDs in one region of Peru. Methods A descriptive and non-experimental study, using the participatory methodologies of co-creation process. It was conducted in one region of Peru (Tumbes) to design an intervention for implementing a multiparameter POCT device. Two co-creation sessions were conducted involving five groups: community members, primary healthcare workers, these groups in both rural and urban settings, and regional decision-makers. These sessions included activities to understand patient journeys in receiving care for NCDs, identify facilitators and barriers to POCT devices usage, and define an implementation strategy for POCT devices in both rural and urban settings of Tumbes. The research team analysed the data and summarized key topics for discussion after each session. Results A total of 78 participants were enrolled across the five groups. Among community members: 22.2% had only diabetes, 24.1% had only hypertension, and 18.5% had both diagnoses. In the patient journey, community members mentioned that it took at least three days to receive a diagnosis and treatment for an NCD. Most of the participants agreed that the POCT devices would be beneficial for their communities, but they also identified some concerns. The strategy for POCT devices implementation included healthcare workers training, POCT devices must be placed in the laboratory area and must be able to perform tests for glucose, glycated haemoglobin, cholesterol, and creatinine. Advertising about POCT devices should be displayed at the healthcare centres and the municipality using billboards and flyers. Conclusions The co-creation process was useful to develop strategies for the implementation of multiparameter POCT devices for NCDs, involving the participation of different groups of stakeholders guided by moderators in both, rural and urban, settings in Peru. |
| first_indexed | 2024-04-24T16:19:51Z |
| format | Article |
| id | doaj.art-7e719181735841c69cbd223adee03988 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-04-24T16:19:51Z |
| publishDate | 2024-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-7e719181735841c69cbd223adee039882024-03-31T11:14:11ZengBMCBMC Health Services Research1472-69632024-03-0124111010.1186/s12913-024-10809-3Co-creation process of an intervention to implement a multiparameter point-of-care testing device in a primary healthcare setting for non-communicable diseases in PeruLeonardo Albitres-Flores0Silvana Perez-Leon1Antonio Bernabe-Ortiz2Janeth Tenorio-Mucha3Maria Kathia Cardenas4Beatrice Vetter5Elvis Safary6Ricardo Gamboa7Vicente Cordova8Reena Gupta9Andrew Moran10David Beran11María Lazo-Porras12CRONICAS Centre of Excellence in Chronic Diseases, Universidad Peruana Cayetano HerediaCRONICAS Centre of Excellence in Chronic Diseases, Universidad Peruana Cayetano HerediaCRONICAS Centre of Excellence in Chronic Diseases, Universidad Peruana Cayetano HerediaCRONICAS Centre of Excellence in Chronic Diseases, Universidad Peruana Cayetano HerediaCRONICAS Centre of Excellence in Chronic Diseases, Universidad Peruana Cayetano HerediaFINDFINDGlobal Health Center, Universidad Peruana Cayetano HerediaDirección Regional de Salud de TumbesResolve to Save LivesResolve to Save LivesDivision of Tropical and Humanitarian Medicine, Geneva University Hospitals & University of GenevaCRONICAS Centre of Excellence in Chronic Diseases, Universidad Peruana Cayetano HerediaAbstract Background Point-of-care testing (POCT) devices are diagnostic tools that can provide quick and accurate results within minutes, making them suitable for diagnosing non-communicable diseases (NCDs). However, these devices are not widely implemented in healthcare systems and for this reason is relevant to understand the implementation process. Aim To describe the process and define a strategy to implement a multiparameter POCT device for diagnosing and managing NCDs in one region of Peru. Methods A descriptive and non-experimental study, using the participatory methodologies of co-creation process. It was conducted in one region of Peru (Tumbes) to design an intervention for implementing a multiparameter POCT device. Two co-creation sessions were conducted involving five groups: community members, primary healthcare workers, these groups in both rural and urban settings, and regional decision-makers. These sessions included activities to understand patient journeys in receiving care for NCDs, identify facilitators and barriers to POCT devices usage, and define an implementation strategy for POCT devices in both rural and urban settings of Tumbes. The research team analysed the data and summarized key topics for discussion after each session. Results A total of 78 participants were enrolled across the five groups. Among community members: 22.2% had only diabetes, 24.1% had only hypertension, and 18.5% had both diagnoses. In the patient journey, community members mentioned that it took at least three days to receive a diagnosis and treatment for an NCD. Most of the participants agreed that the POCT devices would be beneficial for their communities, but they also identified some concerns. The strategy for POCT devices implementation included healthcare workers training, POCT devices must be placed in the laboratory area and must be able to perform tests for glucose, glycated haemoglobin, cholesterol, and creatinine. Advertising about POCT devices should be displayed at the healthcare centres and the municipality using billboards and flyers. Conclusions The co-creation process was useful to develop strategies for the implementation of multiparameter POCT devices for NCDs, involving the participation of different groups of stakeholders guided by moderators in both, rural and urban, settings in Peru.https://doi.org/10.1186/s12913-024-10809-3Point-of-care testingCommunity-based Participatory ResearchPrimary Health CareNoncommunicable diseases |
| spellingShingle | Leonardo Albitres-Flores Silvana Perez-Leon Antonio Bernabe-Ortiz Janeth Tenorio-Mucha Maria Kathia Cardenas Beatrice Vetter Elvis Safary Ricardo Gamboa Vicente Cordova Reena Gupta Andrew Moran David Beran María Lazo-Porras Co-creation process of an intervention to implement a multiparameter point-of-care testing device in a primary healthcare setting for non-communicable diseases in Peru BMC Health Services Research Point-of-care testing Community-based Participatory Research Primary Health Care Noncommunicable diseases |
| title | Co-creation process of an intervention to implement a multiparameter point-of-care testing device in a primary healthcare setting for non-communicable diseases in Peru |
| title_full | Co-creation process of an intervention to implement a multiparameter point-of-care testing device in a primary healthcare setting for non-communicable diseases in Peru |
| title_fullStr | Co-creation process of an intervention to implement a multiparameter point-of-care testing device in a primary healthcare setting for non-communicable diseases in Peru |
| title_full_unstemmed | Co-creation process of an intervention to implement a multiparameter point-of-care testing device in a primary healthcare setting for non-communicable diseases in Peru |
| title_short | Co-creation process of an intervention to implement a multiparameter point-of-care testing device in a primary healthcare setting for non-communicable diseases in Peru |
| title_sort | co creation process of an intervention to implement a multiparameter point of care testing device in a primary healthcare setting for non communicable diseases in peru |
| topic | Point-of-care testing Community-based Participatory Research Primary Health Care Noncommunicable diseases |
| url | https://doi.org/10.1186/s12913-024-10809-3 |
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