Zunic Lejla
Faculty of Pharmacy, University of Tuzla, Bosnia and Herzegovina.
Acta Inform Med. 2012 Mar;20(1):21-4. doi: 10.5455/aim.2012.20.21-24.
Operation of the Primary health care center and Medical-biochemical laboratories depends on the number of performed laboratory tests. The number of unnecessary tests significantly affect the operation of health institutions.
We analyzed the 1000 requests for laboratory tests at the Primary Health Care Centre in Gracanica from primary care units. Based on the requests for laboratory diagnostics advisable diagnoses from primary health care unit in the Primary Health Care Center (PHC) we made an economic analysis of the total required laboratory tests in the requests for laboratory diagnosis. Incorporating the economic analysis of laboratory tests in requests for laboratory diagnosis by doctors in primary health care (PHC) and the economic analysis of laboratory tests by the disease in primary health care.
The economic value of 5333 laboratory tests was 84 312 points (1 point is 0.80 KM). Of the total value of the index score requirements of GPs are 44, 1%, the requirement of family doctors account for 40% and requirements of other specialists make up 15, 9%..
In the requests of the PHC units for laboratory tests are required all levels of services: urine, CBC, SE, glucose, bilirubine, ALT, AST, AF, CK, cholesterol, HDL chol., triglicerdes, creatinine, urea, uric acid, CRP, fibrinogen, calcium and phosphorus. The following requests are the most common laboratory tests: urine, CBC, blood glucose, cholesterol, triglycerides, aminotransferases, creatinine, urea. The doctors in family practice most often requested: blood glucose, urine, CBC, SE, TGL. , Chol., ALT, AST, creatinine and urea. General practitioners were demanding more cholesterol and triglycerides, and family medicine doctors were demanding less cholesterol and triglycerides and more often CRP, fibrinogen, ALT, AST, what from the level of economic cost analysis rises the issue whether this was justified?
初级卫生保健中心和医学生化实验室的运营取决于所进行的实验室检测数量。不必要检测的数量会显著影响卫生机构的运营。
我们分析了格拉查尼察初级卫生保健中心基层医疗单位的1000份实验室检测申请。基于基层医疗单位在初级卫生保健中心（PHC）进行实验室诊断的建议诊断，我们对实验室诊断申请中所需的全部实验室检测进行了经济分析。将基层医疗（PHC）医生在实验室诊断申请中的实验室检测经济分析与基层医疗中按疾病进行的实验室检测经济分析相结合。
5333项实验室检测的经济价值为84312分（1分等于0.80可兑换马克）。在指数得分要求的总值中，全科医生的要求占44.1%，家庭医生的要求占40%，其他专科医生的要求占15.9%。
在PHC单位的实验室检测申请中，需要各级别的服务检测项目：尿液、血常规、血清电解质、血糖、胆红素、谷丙转氨酶、谷草转氨酶、碱性磷酸酶、肌酸激酶、胆固醇、高密度脂蛋白胆固醇、甘油三酯、肌酐、尿素、尿酸、C反应蛋白、纤维蛋白原、钙和磷。以下是最常见的实验室检测申请项目：尿液、血常规、血糖、胆固醇、甘油三酯、转氨酶、肌酐、尿素。家庭医疗医生最常申请的项目为：血糖、尿液、血常规、血清电解质、甘油三酯、胆固醇、谷丙转氨酶、谷草转氨酶、肌酐和尿素。全科医生要求检测更多的胆固醇和甘油三酯，而家庭医生要求检测较少的胆固醇和甘油三酯，且更常要求检测C反应蛋白、纤维蛋白原、谷丙转氨酶、谷草转氨酶，从经济成本分析层面来看，这是否合理引发了问题？
