Table 1

Identified barriers to the adoption of POCT and frequencies of stakeholders who highlighted each by stakeholder group

ThemeIdentified barrierComm.Clin.Reg.IndustryPatientsTotal
ClinicalInappropriate use of test111014
Lack of clinical utility140207
Reduced accuracy022004
Discourages use of clinical judgement010102
CulturalLack of awareness000202
Lack of clinician buy-in000617
Resistance to change401207
Need for service reconfiguration500207
Lack of Accountability000011
EvidenceCost of evidence generation010203
Lack of evidence201003
Lack of evaluation methodology010102
Repetition of small scale local studies000303
Rate of technology development001001
FinancialCommissioning100034
Cost of test5313214
Lack of investment in new technology010304
Payer identification100203
Reimbursement002002
Siloed budgets111104
OrganisationalAsset control001001
Duration of consultation121004
Increased workload210103
Threat to laboratory services401308
Reduced throughput001001
Regulation000202
Trust Autonomy000202
Design and Quality AssuranceMaintenance requirements101002
Training burden2642014
Poor usability001102
Lack of connectivity100102
Lack of technical support001001
  • Clin, clinicians; Comm, commissioners; Reg, regulators.