Care model design for E-health: Integration of point-of-care testing at Dutch general practices

Bart Verhees, Kees van Kuijk, Lianne Simonse*

*Corresponding author for this work

    Research output: Contribution to journalArticleScientificpeer-review

    14 Citations (Scopus)
    67 Downloads (Pure)


    Point-of-care testing (POCT)—laboratory tests performed with new mobile devices and online technologies outside of the central laboratory—is rapidly outpacing the traditional laboratory test market, growing at a rate of 12 to 15% each year. POCT impacts the diagnostic process of care providers by yielding high efficiency benefits in terms of turnaround time and related quality improvements in the reduction of errors. However, the implementation of this disruptive eHealth technology requires the integration and transformation of diagnostic services across the boundaries of healthcare organizations. Research has revealed both advantages and barriers of POCT implementations, yet to date, there is no business model for the integration of POCT within general practice. The aim of this article is to contribute with a design for a care model that enables the integration of POCT in primary healthcare. In this research, we used a design modelling toolkit for data collection at five general practices. Through an iterative design process, we modelled the actors and value transactions, and designed an optimized care model for the dynamic integration of POCTs into the GP’s network of care delivery. The care model design will have a direct bearing on improving the integration of POCT through the connectivity and norm guidelines between the general practice, the POC technology, and the diagnostic centre.

    Original languageEnglish
    Article number4
    Pages (from-to)1-16
    Number of pages16
    JournalInternational Journal of Environmental Research and Public Health
    Issue number1
    Publication statusPublished - 2018


    • Diagnostic centre
    • Dutch healthcare system
    • General practice
    • Modelling business models
    • Point-of-care testing
    • Visual modelling
    • OA-Fund TU Delft


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