Diabetes Spatial Care Paths, Leading Edge HbA1c Testing, Facilitation Thresholds, Proactive-Preemptive Strategic Intelligence, and Unmanned Aerial Vehicles in Limited-Resource Countries

G. Kost, Busadee Pratumvinit
{"title":"Diabetes Spatial Care Paths, Leading Edge HbA1c Testing, Facilitation Thresholds, Proactive-Preemptive Strategic Intelligence, and Unmanned Aerial Vehicles in Limited-Resource Countries","authors":"G. Kost, Busadee Pratumvinit","doi":"10.1097/POC.0000000000000122","DOIUrl":null,"url":null,"abstract":"Abstract In limited-resource settings, prediabetes and diabetes care demand efficient Spatial Care Paths and effective geospatial optimization of medical services upstream to avoid the economic penalties of untold patient complications downstream. Clever HbA1c technologies placed at the leading edge of primary care in health care small-world networks will improve patient care where multifactorial impediments are identified by facilitation thresholds. We illustrate how to formulate facilitation thresholds and then actuate changes that will solve problems generating the threshold phenomena. It is no longer a question of whether point-of-care HbA1c should be used, in view of numerous studies showing its benefits that we summarize, but instead one of how to effectively design, implement, integrate, and optimize strategies that serve underserved populations. In parallel, professional oversight for HbA1c interferences and variants accompanied by laboratory evaluation will help optimize diagnosis and monitoring. Aerial drones, which currently are used to deliver blood, vaccines, and drugs to inaccessible rural settings, could transport specimens for detailed HbA1c evaluations. By taking advantage of strategic intelligence and moving to primary care, the flow of knowledge emanating directly from patients will help public health nurses, primary care staff, and multidisciplinary physicians, some working via telemedicine, to proactively and preemptively reduce diabetes complications by means of evidence-based, cost-effective decision making closer to patient homes. Innovative monitoring and treatment will fulfill expectations for high-quality efficient personalized care, even self-monitoring essential to the management of a chronic condition, thus transforming standards of care to appropriately embrace and empower point-of-care culture.","PeriodicalId":20262,"journal":{"name":"Point of Care: The Journal of Near-Patient Testing & Technology","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"3","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Point of Care: The Journal of Near-Patient Testing & Technology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/POC.0000000000000122","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 3

Abstract

Abstract In limited-resource settings, prediabetes and diabetes care demand efficient Spatial Care Paths and effective geospatial optimization of medical services upstream to avoid the economic penalties of untold patient complications downstream. Clever HbA1c technologies placed at the leading edge of primary care in health care small-world networks will improve patient care where multifactorial impediments are identified by facilitation thresholds. We illustrate how to formulate facilitation thresholds and then actuate changes that will solve problems generating the threshold phenomena. It is no longer a question of whether point-of-care HbA1c should be used, in view of numerous studies showing its benefits that we summarize, but instead one of how to effectively design, implement, integrate, and optimize strategies that serve underserved populations. In parallel, professional oversight for HbA1c interferences and variants accompanied by laboratory evaluation will help optimize diagnosis and monitoring. Aerial drones, which currently are used to deliver blood, vaccines, and drugs to inaccessible rural settings, could transport specimens for detailed HbA1c evaluations. By taking advantage of strategic intelligence and moving to primary care, the flow of knowledge emanating directly from patients will help public health nurses, primary care staff, and multidisciplinary physicians, some working via telemedicine, to proactively and preemptively reduce diabetes complications by means of evidence-based, cost-effective decision making closer to patient homes. Innovative monitoring and treatment will fulfill expectations for high-quality efficient personalized care, even self-monitoring essential to the management of a chronic condition, thus transforming standards of care to appropriately embrace and empower point-of-care culture.
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
糖尿病空间护理路径,领先的糖化血红蛋白检测,促进阈值,主动先发制人的战略情报,以及资源有限国家的无人机
在资源有限的环境下,糖尿病前期和糖尿病的护理需要高效的空间护理路径和有效的上游医疗服务的地理空间优化,以避免下游未知的患者并发症的经济损失。在医疗保健小世界网络中,处于初级保健前沿的聪明的HbA1c技术将改善通过促进阈值识别多因素障碍的患者护理。我们将说明如何制定促进阈值,然后启动将解决产生阈值现象的问题的变化。鉴于我们总结的大量研究表明其益处,这不再是是否应该使用即时糖化血红蛋白的问题,而是如何有效地设计、实施、整合和优化服务于服务不足人群的策略的问题。同时,对HbA1c干扰和变异进行专业监督,并辅以实验室评估,将有助于优化诊断和监测。目前用于向交通不便的农村地区运送血液、疫苗和药物的无人机,可以运送标本进行详细的糖化血红蛋白评估。通过利用战略情报并转向初级保健,直接来自患者的知识流动将有助于公共卫生护士、初级保健工作人员和多学科医生(其中一些通过远程医疗工作)在离患者家更近的地方,通过循证、具有成本效益的决策,主动和先发制人地减少糖尿病并发症。创新的监测和治疗将满足人们对高质量、高效的个性化护理的期望,甚至是对慢性疾病管理至关重要的自我监测,从而改变护理标准,适当地接受并赋予护理点文化以力量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
自引率
0.00%
发文量
0
期刊最新文献
A Comparison of International Normalized Ratio Results by Point-of-Care Device and Clinical Laboratory Analyzers in a Vascular Surgery Department Point-of-Care Testing in Hypercoagulable Conditions Managed With Warfarin Critical Care Nurses' Views and Experiences of Preanalytical Factors Influencing Point-of-Care Testing Rapid Assessment of Coagulation at the Point of Care With the Hemochron Signature Elite System Invited Product Profile: Detecting Antibodies for Lyme Disease at the Point of Care
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1