Ahuja Nishtha, Rane Sharada R, Pai Sanjay A
From the Department of Histopathology, Post-Graduate Institute of Medical Education and Research, Chandigarh, India (Ahuja).
From the Department of Pathology, Government Medical College, Baramati, India (Rane).
Arch Pathol Lab Med. 2023 Feb 1;147(2):236-243. doi: 10.5858/arpa.2021-0545-EP.
CONTEXT.—: Laboratories of many medical college hospitals in India do not offer important diagnostic tests, most of which are routine in the West. This detracts from the service as well as the educational function of the college.
OBJECTIVES.—: To provide the background to pathology and laboratory medicine services and education in India, and to create a questionnaire that will put the lack of tertiary care laboratory services in perspective. This article will help illustrate the lacunae in laboratory medicine services and in the education of students. For this, we present information on the health services and pathology education facilities in India. We propose a questionnaire comprising 30 questions in various disciplines in pathology and laboratory medicine. These questions will help administrators and bureaucrats evaluate the status of the laboratories with respect to the services provided.
DATA SOURCES.—: Sources include Web sites of the government of India, including that of the National Accreditation Board for Testing and Calibration Laboratories; indexed medical journal articles; and standard books and white papers on health care in India. We also used our personal experiences and interpretations of the laboratory and medical education sector in India.
CONCLUSIONS.—: Medical colleges in India need to offer specialized diagnostic services if they are to achieve the targets of universal health care as well as turning out competent doctors. The agencies responsible for health care in India should use the questionnaire as a first step toward improving laboratory services. Other low- and middle-income countries should also adopt this method.
印度许多医学院附属医院的实验室不提供重要的诊断检测项目，而其中大多数检测在西方都是常规项目。这损害了学院的服务功能和教育功能。
介绍印度病理学和检验医学服务及教育的背景情况，并设计一份问卷，以便正确看待三级医疗实验室服务的缺失。本文将有助于阐明检验医学服务和学生教育方面的不足。为此，我们提供了印度卫生服务和病理学教育设施的相关信息。我们提出了一份包含30个关于病理学和检验医学各学科问题的问卷。这些问题将帮助管理人员和官员评估实验室在提供服务方面的状况。
来源包括印度政府网站，包括国家测试和校准实验室认可委员会的网站；索引医学期刊文章；以及关于印度医疗保健的标准书籍和白皮书。我们还运用了我们个人对印度实验室和医学教育领域的经验及解读。
如果印度的医学院要实现全民医疗保健目标并培养出称职的医生，就需要提供专业的诊断服务。印度负责医疗保健的机构应将该问卷作为改善实验室服务的第一步。其他低收入和中等收入国家也应采用这种方法。
