Exploring Primary Care Clinicians’ Views about How Best to Implement a Potential Trial around Point-of-Care Tests for Common Infections in South Africa
Optimisation of antibiotic prescribing is critical to combat antimicrobial resistance. Point-of-care tests (POCTs) for common infections could be a valuable tool to achieve this in primary care. Currently, their use has primarily been studied in high-income countries. Trials in low-and-middle-income...
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MDPI AG
2021
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oai:doaj.org-article:f1c1c8e56887423a89c31cc228b0ba342021-11-25T17:21:37ZExploring Primary Care Clinicians’ Views about How Best to Implement a Potential Trial around Point-of-Care Tests for Common Infections in South Africa10.3390/diagnostics111121002075-4418https://doaj.org/article/f1c1c8e56887423a89c31cc228b0ba342021-11-01T00:00:00Zhttps://www.mdpi.com/2075-4418/11/11/2100https://doaj.org/toc/2075-4418Optimisation of antibiotic prescribing is critical to combat antimicrobial resistance. Point-of-care tests (POCTs) for common infections could be a valuable tool to achieve this in primary care. Currently, their use has primarily been studied in high-income countries. Trials in low-and-middle-income countries face challenges unique to their setting. This study aims to explore the barriers and facilitators for a future trial of POCTs for common infections in South Africa. Twenty-three primary care clinicians in the Western Cape Metropole were interviewed. Interview transcripts were analysed using thematic analysis. We identified three key themes. These themes focused on clinicians’ views about proposed trial design and novel POCTs, clinicians’ perspectives about trial set-up, and specific trial procedures. Participants were overall positive about the proposed trial and POCTs. Potential issues centred around the limited space and technology available and participant retention to follow-up. Additionally, impact on clinic workload was an important consideration. These insights will be invaluable in informing the design of a feasibility trial of POCTs in this setting.Alice EppsCharlotte AlburyOliver Van HeckeMDPI AGarticlePOCTsprimary carethematic analysisprescribingMedicine (General)R5-920ENDiagnostics, Vol 11, Iss 2100, p 2100 (2021) |
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POCTs primary care thematic analysis prescribing Medicine (General) R5-920 |
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POCTs primary care thematic analysis prescribing Medicine (General) R5-920 Alice Epps Charlotte Albury Oliver Van Hecke Exploring Primary Care Clinicians’ Views about How Best to Implement a Potential Trial around Point-of-Care Tests for Common Infections in South Africa |
description |
Optimisation of antibiotic prescribing is critical to combat antimicrobial resistance. Point-of-care tests (POCTs) for common infections could be a valuable tool to achieve this in primary care. Currently, their use has primarily been studied in high-income countries. Trials in low-and-middle-income countries face challenges unique to their setting. This study aims to explore the barriers and facilitators for a future trial of POCTs for common infections in South Africa. Twenty-three primary care clinicians in the Western Cape Metropole were interviewed. Interview transcripts were analysed using thematic analysis. We identified three key themes. These themes focused on clinicians’ views about proposed trial design and novel POCTs, clinicians’ perspectives about trial set-up, and specific trial procedures. Participants were overall positive about the proposed trial and POCTs. Potential issues centred around the limited space and technology available and participant retention to follow-up. Additionally, impact on clinic workload was an important consideration. These insights will be invaluable in informing the design of a feasibility trial of POCTs in this setting. |
format |
article |
author |
Alice Epps Charlotte Albury Oliver Van Hecke |
author_facet |
Alice Epps Charlotte Albury Oliver Van Hecke |
author_sort |
Alice Epps |
title |
Exploring Primary Care Clinicians’ Views about How Best to Implement a Potential Trial around Point-of-Care Tests for Common Infections in South Africa |
title_short |
Exploring Primary Care Clinicians’ Views about How Best to Implement a Potential Trial around Point-of-Care Tests for Common Infections in South Africa |
title_full |
Exploring Primary Care Clinicians’ Views about How Best to Implement a Potential Trial around Point-of-Care Tests for Common Infections in South Africa |
title_fullStr |
Exploring Primary Care Clinicians’ Views about How Best to Implement a Potential Trial around Point-of-Care Tests for Common Infections in South Africa |
title_full_unstemmed |
Exploring Primary Care Clinicians’ Views about How Best to Implement a Potential Trial around Point-of-Care Tests for Common Infections in South Africa |
title_sort |
exploring primary care clinicians’ views about how best to implement a potential trial around point-of-care tests for common infections in south africa |
publisher |
MDPI AG |
publishDate |
2021 |
url |
https://doaj.org/article/f1c1c8e56887423a89c31cc228b0ba34 |
work_keys_str_mv |
AT aliceepps exploringprimarycarecliniciansviewsabouthowbesttoimplementapotentialtrialaroundpointofcaretestsforcommoninfectionsinsouthafrica AT charlottealbury exploringprimarycarecliniciansviewsabouthowbesttoimplementapotentialtrialaroundpointofcaretestsforcommoninfectionsinsouthafrica AT olivervanhecke exploringprimarycarecliniciansviewsabouthowbesttoimplementapotentialtrialaroundpointofcaretestsforcommoninfectionsinsouthafrica |
_version_ |
1718412506331873280 |