Mishra S K, Tiwari B R, Yadav B K
Concern for Public Health Development (C-PHD), Kathmandu, Nepal.
J Nepal Health Res Counc. 2012 Jan;10(1):37-40.
The status of basic, general and specialist workforces in pathology services in Nepal needs to be defined and explored for better pathology services. The objective of the study was to find out the status of laboratory medicine professionals (pathology workforces) and the regulation of ethics and limitations of the different level of workforces.
A cross-sectional descriptive study was conducted by observing and taking interview with the head of the clinical private institutions from August 2008 to January 2009. A total of 373 private pathology laboratories and the workforces working over there were included in the study.
The workforces heading private pathology services showed that 153 (41%) of laboratories were headed by laboratory assistant, 79 (21%) by laboratory technician, 90 (24%) by (medical technologist) pathology officer, 30 (8%) by histocytopathologist and 21 (6%) by non pathology professionals. Officer level Pathology workforce (eligible to work independently) was 113 (30%) whereas 260 (70%) of laboratories had no such workforces. Intermediate level Pathology workforce (eligible to work dependently and for some investigation independently) was 34% (127/373) where as 66% (246/373) of laboratories were lacking such workforces. Specialist level (MD/M. Sc) workforces in histocytopathology, clinical microbiology and cytopatholgy & hematology were 43 (11%), 10 (3%) and 3 (1%) respectively.
The workforces heading the private laboratories were not according to the norms of good laboratory practices. The workforces had crossed their limitations and ethical barrier in performing pathological investigations which did not abide by the rules and regulations made by respective councils of Nepal by pathology workforces. There was intervention of non medical/clinical workforce in laboratory services especially in microbiology and biochemistry.
为了提供更好的病理学服务，需要明确并探究尼泊尔病理学服务中基础、普通和专业劳动力的状况。本研究的目的是了解检验医学专业人员（病理学劳动力）的状况以及不同级别劳动力的伦理规范和局限性。
2008年8月至2009年1月，通过对临床私立机构负责人进行观察和访谈开展了一项横断面描述性研究。该研究纳入了总共373家私立病理实验室及其工作人员。
负责私立病理学服务的工作人员显示，153家（41%）实验室由实验室助理领导，79家（21%）由实验室技术员领导，90家（24%）由（医学检验技师）病理医师领导，30家（8%）由组织细胞病理学家领导，21家（6%）由非病理学专业人员领导。具备独立工作资格的高级别病理学劳动力为113人（30%），而260家（70%）实验室没有此类劳动力。具备依赖工作及某些检验独立工作资格的中级病理学劳动力占34%（127/373），而66%（246/373）实验室缺乏此类劳动力。组织细胞病理学、临床微生物学以及细胞病理学与血液学领域的专业级别（医学博士/理学硕士）劳动力分别为43人（11%）、10人（3%）和3人（1%）。
负责私立实验室的工作人员不符合良好实验室规范。这些工作人员在进行病理检查时超越了自身的局限和伦理界限，未遵守尼泊尔各相关委员会针对病理学劳动力制定的规章制度。非医学/临床劳动力介入了实验室服务，尤其是微生物学和生物化学领域。
