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Table 3 Summary of how primary care clinicians’ attitudes towards blood POCTs may act as facilitators and barriers to their adoption in primary care

From: Primary care clinicians’ attitudes towards point-of-care blood testing: a systematic review of qualitative studies

Theme Facilitators to adoption of POCTs in primary care Barriers to adoption of POCTs in primary care
Impact of POCTs on decision-making, diagnosis and treatment Increased diagnostic certainty Concerns about accuracy
More effective targeting of treatment (e.g. antibiotics) Might not be helpful or alter consultations
  Possible misleading results
Impact of POCTs on clinical practice more broadly Fewer re-consultations / phone calls for the same or future episodes of illness Over-reliance, undermining of clinical expertise
Enhanced confidence and job satisfaction Cost, equipment maintenance, time
Avoidance of missing or delayed results, and loss of patients to follow-up Usefulness limited to certain situations and patients
Impact of POCTs on patient-clinician relationship and perceived patient experience Enhanced communication through discussing immediate results Possible patient dislike of testing
Increased patient education and self-management of chronic conditions Patient anxiety resulting from intermediate results
Shared decisions with patients (e.g. antibiotic prescription)  
Greater reassurance and satisfaction for patients  
Patient confidence in clinicians’ decisions