Steiner J W
Chi Laboratory Systems, Inc., Ann Arbor, MI, USA.
Healthc Financ Manage. 1997 Nov;51(11):40, 42-4.
With the rise of integrated delivery systems (IDSs), hospital laboratories need to transform themselves to better serve these large regional systems. Four factors are driving this need for transformation: the decline in the customer base of hospital clinical laboratories, the expanding number of test options, the need to control costs, and the proliferation of new technologies. In the future, clinical diagnostic capabilities will be available via integrated regional laboratory systems, or "virtual laboratories". The virtual laboratories serving IDSs will consist of a control center to manage laboratory services across the system, a core laboratory to perform large-volume testing and all testing that does not require a rapid turnaround, satellite laboratories for quick-turnaround testing, and a range of point-of-care testing options. Developing these virtual laboratories will pose challenges, including a redeployment of resources and a reengineering of testing policies and procedures. Success in implementing a virtual laboratory also will depend on the development of effective information systems technology to link the laboratory's components.
随着整合式医疗服务体系（IDSs）的兴起，医院实验室需要进行自我转型，以更好地服务于这些大型区域系统。有四个因素推动了这种转型需求：医院临床实验室客户群的减少、检测选项数量的增加、控制成本的需要以及新技术的激增。未来，临床诊断能力将通过整合式区域实验室系统或“虚拟实验室”来实现。服务于IDSs的虚拟实验室将包括一个管理全系统实验室服务的控制中心、一个进行大批量检测以及所有不需要快速周转的检测的核心实验室、用于快速周转检测的卫星实验室，以及一系列即时检测选项。开发这些虚拟实验室将带来挑战，包括资源的重新调配以及检测政策和程序的重新设计。实施虚拟实验室的成功还将取决于开发有效的信息系统技术来连接实验室的各个组成部分。
