Thiele H J
Z Gesamte Inn Med. 1977 Jan 15;32(2):17-8 concl.
The effectivity of the clinical medicine becomes increasingly dependent on the efficiency of medico-experimental subjects, to which belong pathological chemistry and clinical biochemistry as well as haematology. The scientifically proved increasing demands made on the laboratories concern the quality of the results of investigations, constantly increasing numbers of investigations as well as a considerable enlargement of the investigation programmes. Adequate developments of workman are not to be expected. The requirements are to be met by the increase of the working productivity, for which a good organisation of work the use of mechanisation and automatisation means for the elaboration of large series of investigations are the prerequisite. A high degree of centralisation ascertains the effectivity of the adequate investments. Exceeding the ascertained foundations for a project of organisation of the laboratory work in the GDR in the next time still various problems must be solved which especially influence the organisation. Among others they concern the necessary investigation programme for the general practitioner in an out-patient practice, moreover the establishment of investigation programmes for several levels of care, the necessary quality (precision and exactness) of the results of investigations, the suitableness of stripe tests and the influence of preanalytic factors and especially of the biorhythmics on the findings of investigations. The tendencies described are accompanied by the danger that the reciprocities between clinic and laboratory becoming increasingly more necessary for the interpretation and classification of laboratory findings into the symptom complex become rather loose. Therefore, it will be one of the most important tasks of future to develop together reorganisation and collaboration.
临床医学的有效性越来越依赖于医学实验对象的效率,病理化学、临床生物化学以及血液学都属于医学实验对象。科学证明,对实验室不断增加的要求涉及调查结果的质量、调查数量的持续增加以及调查项目的大幅扩展。预计不会有足够的工作人员发展。这些要求需要通过提高工作效率来满足,而良好的工作组织、使用机械化和自动化手段来处理大量调查是提高工作效率的前提。高度的集中化确保了适当投资的有效性。在下一阶段,在民主德国,超过已确定的实验室工作组织项目基础,仍有各种问题需要解决,这些问题尤其影响组织工作。其中包括门诊普通医生所需的调查项目,此外还有为几个护理级别制定调查项目、调查结果所需的质量(精度和准确性)、条带试验的适用性以及分析前因素尤其是生物节律对调查结果的影响。上述趋势伴随着这样一种危险,即临床和实验室之间对于将实验室检查结果解释并分类到症状复合体中越来越必要的相互关系变得相当松散。因此,未来最重要的任务之一将是共同开展重组与协作。