Principles of Point of Care Culture, the Spatial Care Path™, and Enabling Community and Global Resilience: Enabling Community and Global Resilience.
OBJECTIVE
This article a) defines point of care (POC) culture; b) presents seven underlying fundamental principles; c) describes the importance of needs assessment; d) introduces a new innovation, the spatial care path™; and e) illustrates how POC testing that properly fulfills needs and spatial care paths™ enable community and global resilience.


METHODS
Often, POC testing supplants the conventional clinical laboratory, which may be too distant, prohibitively expensive, or simply not available in limited-resource settings. New POC technologies "fit" future medical problem solving. Screening and testing directly in the home or primary care facilitate rapid diagnosis, monitoring, and treatment. In contrast to the past where attention has been placed on emergency departments, hospitals, and referral centers, the spatial care path™ starts with the patient and guides him or her through an efficient strategy of care in small-world networks (SWNs) defined by local geography and topology, long-standing customs, public health jurisdictions, and geographic information systems (GIS).


CONCLUSIONS
POC testing needs in limited-resource settings are striking. Fulfillment is best guided by thorough understanding of POC culture. Quick feedback and fast decision-making by patients and physicians alike yield significant value that motivates changes in patient lifestyles and physician interactions. Culturally sensitive technology assimilation addresses leadership challenges in nations adapting to increasing populations of young and old, despite scarcity of resources. The spatial care path™ facilitates an essential balance of prevention and intervention in public health and shifts future focus to the patient, empowerment, and primary care within the context of POC culture.
Point-of-Care Center for Teaching and Research (POCT•CTR), School of Medicine, UC Davis, CA; Knowledge Optimization®, Davis, CA; Affiliate Faculty, College of Population Studies, Chulalongkorn University, Bangkok, Thailand.
J Kost
JK
Gerald
Point-of-Care Center for Teaching and Research (POCT•CTR), School of Medicine , UC Davis, CA.
J Ferguson
JF
William
Harvard School of Public Health, Harvard University , Boston, MA.
E Kost
EK
Laurie
Care path; POC testing; and value; customs; decision-making; empowerment; geographic information systems (GIS); geography; intervention; lifestyle; medical poverty; needs assessment; point-of-care (POC) technologies; prevention; public health jurisdictions; small-world network; survey
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