Evolution of anatomic pathology workload from 2011 to 2019 assessed in a regional hospital laboratory via 574,093 pathology reports

被引：15

作者：

Bonert, Michael ^{[1
]}

Zafar, Uzma ^{[2
]}

Maung, Raymond ^{[3
]}

El-Shinnawy, Ihab ^{[1
]}

Kak, Ipshita ^{[1
]}

Cutz, Jean-Claude ^{[1
]}

Naqvi, Asghar ^{[1
]}

Juergens, Rosalyn A. ^{[4
]}

Finley, Christian ^{[5
]}

Salama, Samih ^{[1
]}

Major, Pierre ^{[4
]}

Kapoor, Anil ^{[6
]}

机构：

[1] McMaster Univ, Pathol & Mol Med, Hamilton, ON, Canada

[2] McMaster Univ, Internal Med, Hamilton, ON, Canada

[3] Univ British Columbia, Pathol, Vancouver, BC, Canada

[4] McMaster Univ, Med Oncol, Hamilton, ON, Canada

[5] McMaster Univ, Thorac Surg, Hamilton, ON, Canada

[6] McMaster Univ, Urol, Hamilton, ON, Canada

来源：

PLOS ONE | 2021年 / 16卷 / 06期

关键词：

QUALITY;

D O I：

10.1371/journal.pone.0253876

中图分类号：

O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

Objective Quantify changes in workload in relation to the anatomic pathologist workforce. Methods In house pathology reports for cytology and surgical specimens from a regional hospital laboratory over a nine- year period (2011-2019) were analyzed, using custom computer code. Report length for the diagnosis+microscopic+synoptic report, number of blocks, billing classification (L86x codes), billings, national workload model (L4E 2018), regional workload model (W2Q), case count, and pathologist workforce in full-time equivalents (FTEs) were quantified. Randomly selected cases (n = 1,100) were audited to assess accuracy. Results The study period had 574,093 pathology reports that could be analyzed. The coding accuracy was estimated at 95%. From 2011 to 2019: cases/year decreased 6% (66,056 to 61,962), blocks/year increased 20% (236,197 to 283,751), L4E workload units increased 23% (165,276 to 203,894), W2Q workload units increased 21% (149,841 to 181,321), report lines increased 19% (606,862 to 723,175), workforce increased 1% (30.42 to 30.77 FTEs), billings increased 13% ($6,766,927 to $7,677,109). W2Q in relation to L4E underweights work in practices with large specimens by up to a factor of 2x. Conclusions Work by L4E for large specimens is underrated by W2Q. Reporting requirements and pathology work-up have increased workload per pathology case. Work overall has increased significantly without a commensurate workforce increase. The significant practice changes in the pathology work environment should prompt local investment in the anatomic pathology workforce.

引用

页数：13

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