Table 6.
Hospital Responses a |
Primary Care Centers | Patient Home | Emergency Medical Services b,c |
---|---|---|---|
Level 2 Provincial Hospital (N = 1) | ABO blood typing, blood gas, cardiac biomarkers, CBC, ECG, electrolytes, glucose meter, hyperlipidemia, ultrasound, and SpO2 | Glucose meter and SpO2 | Blood gas, CBC, glucose meter, electrolytes, and SPO2 |
Level 3 District Hospitals (N = 7) (Response frequency by sites surveyed) |
Glucose meter (6), CBC (4), ECG (4), urinalysis (4), cardiac biomarkers (2), hyperlipidemia (2), malaria Ag (2), HBsAg (2), ultrasound (2), AST (2), ALT (2), bhCG (1), urea (1), creatinine (1), SpO2 (1), HPV (1), H. pylori (1), HIV (1), coagulation tests (1), prothrombin time (1), activated partial thromboplastin time (1), albumin (1), and bilirubin (1) | Glucose meter (7), BP (6), CBC (1), and electrolytes (1) | Glucose meter (4), ECG (2), cardiac biomarkers (2), BP (1), coagulation tests (1), ultrasound (1), and blood gas (1) |
Level 4 Community Health Centers (N = 7) (Response frequency by sites surveyed) |
Glucose meter (6), CBC (5), urinalysis (5), ECG (4), ultrasound (4), blood gas (3), HIV (2), coagulation tests (2), bhCG (2), ABO blood typing (1), cardiac biomarkers (1), BP (1), SpO2 (1), prothrombin time (1), AST (1), ALT (1), activated partial thromboplastin time (1), albumin (1), bilirubin (1), urea (1), creatinine (1), and spirometer (1) |
Glucose meter (7) and BP (5) | Blood gas (2), ECG (2), cardiac biomarkers (2), malaria Ag (1), BP (1), and CBC (1) |
Abbreviations: ALT, alanine aminotransferase; AST, aspartate aminotransferase; bhCG, beta-human chorionic gonadotropin; BP, blood pressure; CBC, complete blood cell count; ECG, electrocardiograph; HBsAg, hepatitis B surface antigen test; HIV, human immunodeficiency virus; HPV, human papillomavirus; H. pylori, helicobacter pylori; malaria Ag, malaria surface antigen test; SpO2, peripheral capillary oxygen saturation. Footnotes: a Survey questions 2.16, 2.17, 2.18, 2.24, and 4.25. b Five community health centers’ responses were provided. c Four district hospitals’ responses were recorded, and the remaining three district hospitals did not request for POC tests in the hands of EMS staff due to the current stepwise patient triage.