西班牙全科医生的检测需求模式存在地域差异。
Regional variations in test requiring patterns of general practitioners in Spain.
机构信息
Department of Clinical Laboratory, Hospital Universitario de San Juan, Alicante, Spain.
出版信息
Ups J Med Sci. 2011 Nov;116(4):247-51. doi: 10.3109/03009734.2011.606927.
OBJECTIVE
To analyze the requesting patterns for a range of laboratory tests ordered in 2009 from eight laboratories providing services to eight health areas, using appropriate indicators.
DESIGN
Indicators measured every test request per 1,000 inhabitants, and indicators that measured the number of tests per related test requested by general practitioners were calculated. The savings generated, if each Health Care Department achieved the appropriate indicator standard, were also calculated. Laboratory Information System registers were collected, and indicators were calculated automatically in each laboratory using a data warehouse application.
RESULTS
There was a large difference in demand for tests by health areas. The ratio of related tests also showed a great variability. The savings generated if each Health Care Department had achieved the appropriate indicator standard were €172,116 for free thyroxine, €18,289 for aspartate aminotransferase, and €62,678 for urea.
CONCLUSIONS
Considerable variability exists in general practitioners' demand for laboratory tests.
目的
使用适当的指标分析 2009 年 8 个实验室向 8 个卫生区域提供的一系列实验室检测的申请模式。
设计
以每千名居民的检测请求数作为指标进行测量，并计算出每位全科医生申请的相关检测数与实际检测数之间的比值。还计算了如果每个医疗保健部门都达到了适当的指标标准，将会节省多少费用。收集了实验室信息系统的登记记录，并使用数据仓库应用程序在每个实验室中自动计算指标。
结果
各卫生区域的检测需求差异很大。相关检测的比值也存在很大的可变性。如果每个医疗保健部门都达到了适当的指标标准，游离甲状腺素的节省费用为 172116 欧元，天门冬氨酸氨基转移酶为 18289 欧元，尿素为 62678 欧元。
结论
全科医生对实验室检测的需求存在很大差异。
Zotero 插件