Miller D F, Miller J J
Yale Medical School, New Haven, USA.
Conn Med. 1997 Jan;61(1):9-13.
To measure the volume of clinical laboratory testing in Connecticut during a one-year period. To explore the potential value of such data.
Summary and analysis of federal and state clinical laboratory registration/licensure/inspection forms.
2,333 clinical laboratory test facilities registered in Connecticut.
The total clinical laboratory output for Connecticut by type of facility and category of technology over a 12-month period.
During 1995, 2,333 registered clinical laboratory test facilities performed approximately 65,427,103 analyses in Connecticut. This represents approximately 20 tests per person per year. Thirty-five acute care hospitals performed 59.4%, nine large commercial laboratories 33.2%, 30 small commercial laboratories 1.7%, 1,491 physicians' offices 3.9%, and a miscellaneous group 1% of the tests. Test volumes are further segregated into eight major categories of technology: chemistry 59%, hematology 23.3%, microbiology 5.6%, blood banking 2.9%, coagulation 2.8%, waived tests 2.7%, urine analysis 1.8%, cytology 0.9%, and histology 0.8%.
For the first time mechanisms are in place to measure essentially all clinical testing for a given area. With minor changes the data collection system could be greatly improved. The possible uses for such a data bank are discussed.
测量康涅狄格州一年内临床实验室检测的量。探索此类数据的潜在价值。
对联邦和州临床实验室注册/许可/检查表格进行汇总和分析。
康涅狄格州注册的2333家临床实验室检测机构。
按机构类型和技术类别划分的康涅狄格州12个月期间临床实验室的总产出。
1995年，康涅狄格州2333家注册临床实验室检测机构共进行了约65427103次检测。这相当于每年每人约20次检测。35家急症护理医院进行了59.4%的检测，9家大型商业实验室进行了33.2%，30家小型商业实验室进行了1.7%，1491家医生办公室进行了3.9%，其他机构进行了1%的检测。检测量进一步细分为八大主要技术类别：化学检测占59%，血液学检测占23.3%，微生物学检测占5.6%，血库检测占2.9%，凝血检测占2.8%，简易检测占2.7%，尿液分析占1.8%，细胞学检测占0.9%，组织学检测占0.8%。
首次建立了对特定地区几乎所有临床检测进行测量的机制。只需稍作改变，数据收集系统就能得到极大改善。讨论了这样一个数据库的可能用途。
