Shibata S
Educational Museum of Modern Medicine, Kawasaki Medical School, Kurashiki.
Rinsho Byori. 1993 Jan;41(1):59-62.
This is the specified address delivered at the 20th meeting of the Chugoku-Shikoku District of the Japanese Society of Clinical Pathologists (JSCP). More than 40 years have elapsed since the incipient epoch of clinical pathology in this country, when physicians, surgeons and pathologists gathered, for the first time, to institute a scientific medical association (JSCP) for the purpose of elevating daily medical services to the modernized level through active use of clinical laboratory examination. Since then the laboratory examination has undergone a rapid progress and many new techniques have appeared. Excellent equipments and reagents are being supplied from the engineering and pharmaceutical companies. Thus, the clinical laboratories have assumed an out-look of a big factory equipped with a variety of automatic analysers and a large number of computers, and the figures of many laboratory staffs are peeped among them. In this situation there arose several problems urgently needed for control to hole the laboratory ideal in service to the medical doctors as well as to the patients. 1. Management of personnels (medical technologists and others) who are dissatisfied with daily robot-like works and discordant human relations. 2. Report sheets sent to the medical doctors are not employed adequately for the care of patients, because they are handed over in uncooked style without clinical laboratory interpretation and recommendation. Therefore, the laboratory medical doctors are ranked below the medical doctors on the wards and outpatient clinic. 3. Too many tests are ordered to the laboratory without adequate recognition of their usefulness.(ABSTRACT TRUNCATED AT 250 WORDS)
这是在日本临床病理学家协会(JSCP)中国四国地区第20次会议上发表的特定演讲。自我国临床病理学起步至今已过去40多年,当时内科医生、外科医生和病理学家首次齐聚一堂,成立了一个科学医学协会(JSCP),旨在通过积极利用临床实验室检查将日常医疗服务提升至现代化水平。从那时起,实验室检查取得了迅速进展,许多新技术不断涌现。工程和制药公司提供了出色的设备和试剂。于是,临床实验室呈现出配备各种自动分析仪和大量计算机的大工厂景象,众多实验室工作人员穿梭其中。在这种情况下,出现了几个亟待管控的问题,以便让实验室在为医生和患者服务时达到理想状态。1. 管理那些对日常如机器人般的工作以及不和谐人际关系感到不满的人员(医学技术人员等)。2. 发给医生的报告单因未经临床实验室解读和建议就原样交付,未被充分用于患者护理。因此,实验室医生在病房医生和门诊医生中地位较低。3. 在未充分认识其效用的情况下,向实验室送检的检测项目过多。(摘要截断于250字)