Gama R, Hartland A J, Holland M R
Department of Clinical Chemistry, New Cross Hospital, Wolverhampton, UK.
Clin Lab. 2001;47(1-2):57-66.
A major reason for the dramatic increase in laboratory costs is the increased number of laboratory investigations, many of which are perceived to be a waste of time and money. In consequence, several strategies, reviewed below, for curtailing clinicians' laboratory usage have been proposed but none has been universally successful. It is clear, however, that a combination of several strategies is likely to be more successful than any single approach. There may be several reasons why no single strategy has been widely adopted in routine practice. We suggest that modern computers have the ability to overcome these obstacles. We propose, therefore, that expert systems at the clinical-laboratory interface utilising a multifactorial approach within a framework of commitment from clinicians and laboratorians offer the best prospect for reducing inappropriate laboratory usage.
实验室成本急剧增加的一个主要原因是实验室检查数量的增多，其中许多检查被认为是浪费时间和金钱。因此，有人提出了几种减少临床医生实验室检查使用量的策略（如下所述），但没有一种策略取得普遍成功。然而，很明显，多种策略结合起来可能比任何单一方法更成功。可能有几个原因导致没有单一策略在常规实践中得到广泛采用。我们认为现代计算机有能力克服这些障碍。因此，我们建议在临床医生和实验室工作人员共同努力的框架内，利用多因素方法的临床-实验室界面专家系统，为减少不适当的实验室检查使用提供了最佳前景。
