Forsman R W
Mayo Clinic, Rochester, MN.
J Healthc Mater Manage. 1994 Mar;12(3):14-5, 20, 22.
The laboratory has been seen as a revenue source and its product a commodity. In fact, good laboratories have always provided more of a service. As health care strives to reduce the cost of an episode of care, the laboratory may, ironically, incur additional costs to provide testing that contributes to earlier diagnosis and decreased length of stay. Laboratorians working with physicians and the institution must design processes to reduce cost through decreased utilization and improved decision making. Although materiel managers will continue to perform their traditional functions, they will become more involved in helping to select clinically relevant, cost-effective technologies through the technology assessment process. In order to evaluate new methods and equipment, laboratory expenses must be refined to include workload recording of individual tests and cost accounting of supplies, equipment, facilities and reagents.
实验室一直被视为一个收入来源，其产品被当作一种商品。事实上，优秀的实验室一直提供的更多是一种服务。随着医疗保健努力降低单次护理的成本，具有讽刺意味的是，实验室可能会产生额外成本来提供有助于早期诊断和缩短住院时间的检测。与医生和医疗机构合作的检验人员必须设计流程，通过减少使用和改善决策来降低成本。尽管物资管理人员将继续履行其传统职能，但他们将更多地参与通过技术评估过程来帮助选择临床相关、具有成本效益的技术。为了评估新方法和设备，实验室费用必须细化，以包括单个检测的工作量记录以及用品、设备、设施和试剂的成本核算。
