Changes in clinical practice and patient disposition following the introduction of point-of-care testing in a rural hospital

Objectives To determine whether the practical impact of point-of-care (POC) laboratory testing justifies its use in a remote rural hospital.Methods Test indication, pre-test differential diagnosis and planned patient disposition were recorded over 6 months before and after POC test use in Rawene hospital, in New Zealand's remote north. Doctors recorded impacts on patient treatments (no change, some change or a significant change). Comparisons were made using paired t-tests or [chi]2 tests. An analysis of cost versus tangible benefits was also undertaken.Results 269 POC tests were undertaken for 177 patients. POC tests significantly increased diagnostic certainty (2.5 diagnoses pre-test versus 1.3 diagnoses post-test (p Rural hospital Point-of-care testing Rural general practitioner, Acute rural health care