Point-of-Care Ultrasound in Family medicine: Understanding utilization and non-utilization patterns

Vesna Homar, Mojca Žerdin

Keywords: Point-of-care ultrasound, family medicine, general practice, utilisation

Introduction:

Point-of-care ultrasound (POCUS) is a valuable diagnostic tool in family medicine, improving decision-making and patient care. In Slovenia, a significant number of family medicine specialists received POCUS devices and a targeted training, addressing two major barriers in POCUS use: access and knowledge. However, utilization of POCUS in their practice varies. This study aims to explore POCUS usage patterns, focusing on standard indications and barriers faced by users and non-users.

Method:

This mixed-methods study will include Slovenian family medicine specialists that have been trained in POCUS from 2020 onward and have access to POCUS device. A structured questionnaire will assess the frequency of POCUS use for common and rare indications in family medicine. Reasons for non-use will be explored through the open-ended survey questions. If needed, additional qualitative data to explore barriers and facilitators will be gathered through focus groups. Quantitative data will undergo descriptive analysis, while qualitative responses will be analyzed thematically.

Results:

Findings are expected to reveal variability in utilization across common POCUS indications in family medicine. Common barriers may include lack of confidence, technical challenges, difficulties in addoptions of new skills, or perceived irrelevance.

Conclusions:

By identifying utilization patterns and barriers to POCUS use, this study will inform targeted interventions to improve its integration into family medicine training and practice. Understanding these dynamics could enhance the clinical effectiveness of POCUS and support broader adoption in primary care settings.

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