Appropriateness of test use in pathology: a new era or reinventing the wheel?

被引:28
作者
Smellie, WSA [1 ]
机构
[1] Bishop Auckland Gen Hosp, Clin Lab, Bishop Auckland DL14 6AD, England
关键词
D O I
10.1258/000456303770367180
中图分类号
R446 [实验室诊断]; R-33 [实验医学、医学实验];
学科分类号
1001 ;
摘要
Pathology has struggled to define and implement changes to improve requesting practices, yet, with the increasing transfer of care from secondary to primary care, our workloads are increasing out of proportion to health care activity. Conversely, some tests appear to be considerably under-used by some general practitioners. Aspects of service reconfiguration such as rationalization of low-volume testing and joint equipment and reagent procurement may release some savings, although any such financial benefits are likely to be quickly nullified by the continued rise in activity and do not contribute to quality of test use. With very large differences between general practices in their use of pathology tests, this review looks at methods for changing pathology requesting activity and calls for involvement from professional organizations to support such initiatives.
引用
收藏
页码:585 / 592
页数:8
相关论文
共 49 条
[41]   Do we know what inappropriate laboratory utilization is? - A systematic review of laboratory clinical audits [J].
van Walraven, C ;
Naylor, CD .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1998, 280 (06) :550-558
[42]   Effect of population-based interventions on laboratory utilization - A time-series analysis [J].
van Walraven, C ;
Goel, V ;
Chan, B .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1998, 280 (23) :2028-2033
[43]  
Vanderpump MPJ, 1996, BMJ-BRIT MED J, V313, P539
[44]   PRACTICE GUIDELINES TO REDUCE TESTING IN THE HOSPITAL [J].
WACHTEL, TJ ;
OSULLIVAN, P .
JOURNAL OF GENERAL INTERNAL MEDICINE, 1990, 5 (04) :335-341
[45]  
WAINE C, UK PATH M 7 MAY 2002
[46]   Evidence base of diagnostic research - Rational, cost effective use of investigations in clinical practice [J].
Winkens, R ;
Dinant, GJ .
BRITISH MEDICAL JOURNAL, 2002, 324 (7340) :783-785
[47]   LABORATORY TEST FORM DESIGN INFLUENCES TEST ORDERING BY GENERAL-PRACTITIONERS IN THE NETHERLANDS [J].
ZAAT, JOM ;
VANEIJK, JTM ;
BONTE, HA .
MEDICAL CARE, 1992, 30 (03) :189-198
[48]  
1999, BANDOLIER, V61, P4
[49]  
1998, BANDOLIER, V5, P1