Kambayashi S
Soc Sci Med. 1985;21(10):1125-9. doi: 10.1016/0277-9536(85)90170-4.
The use of an automatic analyzer for blood chemistry has become widespread since the latter half of the 1970s. This medical equipment conserved while improving accuracy. This technology has had a greater impact upon the structure of medical practice, management of medical institutions and medical economics, than previous diagnostic tests such as the X-ray, electrocardiograph and manual laboratory tests. This report analyzes the nationwide use of blood chemistry automatic analyzer, based on statistics from the Ministry of Health and Welfare. First, attempts are made to evaluate the significance of the provision of the multiple-channel auto-analyzer. Second, we review the impact of this technology on medical care and its background in three phases: medical institutions, clinical Laboratory Test Centers and national medical expenditure and the response of the government. These phenomena are common to the fruits of the technological revolution centered on ME (Medical Engineering or Medical Electronics), such as CT, ultrasonograph, hemodialyser. The rational utilization of this equipment will require the cooperative efforts of both economists and medical technologists.
自20世纪70年代后半期以来，血液化学自动分析仪的使用已广泛普及。这种医疗设备在提高准确性的同时节省了人力。与诸如X光、心电图和手工实验室检测等先前的诊断测试相比，这项技术对医疗实践结构、医疗机构管理和医疗经济学产生了更大的影响。本报告基于厚生省的统计数据，分析了血液化学自动分析仪在全国范围内的使用情况。首先，尝试评估提供多通道自动分析仪的意义。其次，我们分三个阶段回顾这项技术对医疗保健的影响及其背景：医疗机构、临床检验中心和国家医疗支出以及政府的应对措施。这些现象对于以医学工程（ME，即Medical Engineering或Medical Electronics）为核心的技术革命成果来说是常见的，比如CT、超声诊断仪、血液透析器。合理使用这种设备将需要经济学家和医学技术专家的共同努力。
