The preferences of adult outpatients in medical or dental care settings for giving saliva, urine or blood for clinical testing
The preferences of adult outpatients in medical or dental care settings for giving saliva, urine or blood for clinical testing
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DOI：
10.14219/jada.archive.2008.0255
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发表时间：
2008-06-01
影响因子：
3.9
通讯作者：
Wong, David T.
中科院分区：
文献类型：
--
作者：
Koka, Sreenivas;Beebe, Timothy J.;Wong, David T.
背景资料。新诊断测试的设计将受益于了解患者对收集体液的偏好。然而，这些偏好是未知的。作者评估了患者对收集唾液、尿液和血液作为诊断液的偏好。作者对在一个医疗中心的两个医疗保健站点和一个牙科保健站点寻求治疗的成年门诊患者进行了调查，了解他们收集唾液、尿液和血液进行诊断测试的舒适性、便利性和简易性。总共完成了413项调查。受试者认为捐赠唾液比在医生(医生或牙医)办公室捐献血液或尿液更舒适、更方便，他们报告说，与血液相比，唾液和尿液在家中更容易收集。男性受试者和曾经捐献唾液的受试者更有可能在医生办公室接受唾液捐赠。所有护理地点的受试者认为唾液捐赠比血液或尿液捐赠更舒适和方便；然而，牙科护理地点的受试者对唾液捐赠的看法比医疗护理地点的受试者更好。此外，受访者表示，如果需要唾液捐赠而不是尿液或血液采集，他们更愿意参与研究和医学测试。在方便性和舒适性方面，唾液可以与血液和尿液相媲美，作为临床和研究测试的诊断液。同时在医疗和牙科场所寻求治疗的患者也有同样的感受。考虑到患者的强烈偏好，唾液可能是研究和实践中开发和实施以患者为中心的诊断测试的首选液体。
Background. The design of new diagnostic tests would benefit from knowing patients' preferences for the collection of bodily fluids. These preferences, however, are unknown. The authors assessed patients' preferences for the collection of saliva, urine and blood as diagnostic fluids.Methods. The authors handed out surveys adult outpatients who sought treatment at two medical care sites and one dental care site at a medical center regarding the comfort, convenience and ease of collection of saliva, urine and blood for diagnostic testing.Results. A total of 413 surveys were completed. Subjects regarded the donation of saliva as more comfortable and convenient than that of blood or urine at the doctor's (physician's or dentist's) office, and they reported that saliva and urine are easiest to collect at home compared with blood. Male subjects and subjects who had ever donated saliva were more likely to perceive saliva donation in the doctor's office favorably. Subjects at all care sites regarded the donation of saliva as more comfortable and convenient than that of blood or urine; however, subjects at the dental care site perceived saliva donation more favorably than did subjects at the medical care sites. In addition, respondents said they were more willing to participate in research and medical testing if it required saliva donation rather than urine or blood collection.Conclusions. In terms of convenience and comfort, saliva compared well with blood and urine as a diagnostic fluid for clinical and research testing. Patients who sought care at both medical and dental sites shared these perceptions.Clinical Implications. Given strong patient preferences, saliva may be the fluid of choice for the development and implementation of patient-centered diagnostic tests in research and practice.