Sandberg S, Thue G, Hjortdahl P, Landaas S
Seksjon for Allmennmedisin, Institutt for Samfunnsmedisinske fag, Universitetet i Bergen.
Tidsskr Nor Laegeforen. 1991 Oct 10;111(24):2980-4.
Near patient testing is increasing both in Norway and abroad. Having test results ready when the patient is present is beneficial in a number of clinical situations, as well as being efficient for both doctor and patient. However, the analytical quality in general practice has proved unstable and in many instances poor. Public expenditures to reimburse near patient tests are soaring. Therefore, high priority must be given to ensuring that the practitioner's laboratory is sound, both professionally and economically. The following items are considered important: All analytical work should be subjected to regular quality assessment. We list a number of constituents that are suitable for near patient analysis. The constituents are divided in two groups: those that all practices should be capable of analyzing, and constituents which should be analyzed in practices with doctors with a special interest in this field. We also suggest changes in the Norwegian public system of reimbursement for near patient testing.
即时检验在挪威和国外都在增加。当患者在场时就能拿到检验结果，这在许多临床情况下都是有益的，对医生和患者来说也都很高效。然而，全科医疗中的分析质量已被证明不稳定，在很多情况下都很差。用于报销即时检验的公共支出正在飙升。因此，必须高度重视确保从业者的实验室在专业和经济方面都健全。以下几点被认为很重要：所有分析工作都应定期进行质量评估。我们列出了一些适合即时检验分析的成分。这些成分分为两组：所有医疗机构都应能够分析的成分，以及应由对该领域有特殊兴趣的医生所在的医疗机构进行分析的成分。我们还建议对挪威即时检验报销的公共系统进行改革。
