Factors Influencing the Introduction of Point-of-care Diagnostics: An Analysis of European Reimbursement Decisions

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dc.contributor.advisor Blumenstein, M en
dc.contributor.advisor Miralles, E en
dc.contributor.author Lowen, Bryce en
dc.date.accessioned 2018-07-19T22:21:21Z en
dc.date.issued 2018 en
dc.identifier.uri http://hdl.handle.net/2292/37511 en
dc.description Full text is available to authenticated members of The University of Auckland only. en
dc.description.abstract Point-of-care (POC) diagnostics are an exciting class of in-vitro diagnostic test capable of providing rapid, accurate results in the vicinity of the patient, empowering clinicians to make informed decisions that streamline the treatment process. In the current healthcare situation where pressure to reduce spending is experienced, this efficient method of diagnostic testing offers the potential to provide economic benefit, while increasing quality of care. Despite the potential cost savings and patient benefit, POC diagnostic adoption levels into healthcare systems are lower than expected. An exploratory qualitative case study approach utilising a sequential design, provides insight into the factors that may influence POC diagnostic introduction to the European healthcare sector. This study is grounded in institutional theory to explore the trends seen in the adoption of POC diagnostics by the differing healthcare systems considered in this study. Phase I of this study presents an analysis of factors that influence POC diagnostic introduction in the literature. An in-depth analysis of political, economic, social, and technological (PEST) factors that influence the reimbursement of POC diagnostics informs phase II of this study by allowing the construction of a targeted survey tool. Phase II consists of primary data collection and analysis whereby experts in the vastly different POC diagnostics industries of England, Germany, and Spain provide valuable insight into how reimbursement decisions are made by healthcare authorities. A main finding of this study through the opinions of key stakeholders in the countries of interest highlight the impact of budgetary considerations and diagnostic costing to the healthcare groups involved as being paramount in overcoming the reimbursement issues experienced by POC diagnostics in the healthcare systems of Europe. Reimbursement of medical technologies emerged as one major factor holding back the adoption of these diagnostics which is of interest to players in the POC diagnostics industry and healthcare authorities in optimising their adoption. en
dc.publisher ResearchSpace@Auckland en
dc.relation.ispartof Masters Thesis - University of Auckland en
dc.relation.isreferencedby UoA99265077214002091 en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights Restricted Item. Available to authenticated members of The University of Auckland. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.rights.uri http://creativecommons.org/licenses/by-nc-sa/3.0/nz/ en
dc.title Factors Influencing the Introduction of Point-of-care Diagnostics: An Analysis of European Reimbursement Decisions en
dc.type Thesis en
thesis.degree.discipline Bioscience Enterprise en
thesis.degree.grantor The University of Auckland en
thesis.degree.level Masters en
dc.rights.holder Copyright: The author en
pubs.elements-id 748078 en
pubs.record-created-at-source-date 2018-07-20 en

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http://creativecommons.org/licenses/by-nc-sa/3.0/nz/ Except where otherwise noted, this item's license is described as http://creativecommons.org/licenses/by-nc-sa/3.0/nz/


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