Role of Laboratory Diagnostic Medical Biochemistry Services - Analysis of Requirements for the Laboratory Test in the Laboratory of primary Health Care Center

Žunić, Lejla; Skrbo, Armin; Čaušević, Adlija; Prnjavorac, Besim; Sabanovic, Zekerijah; Pandža, Haris; Mašić, Izet

doi:10.5455/medarh.2011.65.202-206

Cited by 8 publications

(6 citation statements)

References 5 publications

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“…Laboratory service is recommended as an important component for good functioning of PHC. Studies have been focused on laboratory service in PHC regarding its type, quality (Jain and Rao, 2015;Devane-Padalkar et al, 2016), functioning (Nanjunda, 2011), utilization (Zunic et al, 2011;Baig et al, 2014) and relevance in disease control (George, 2011;Rizwan et al, 2013;Pakhare et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Role of laboratory services in primary health center (PHC) outpatient department performance: an Indian case study

Jain

Rao

2019

Prim Health Care Res Dev

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Background: In resource-constrained settings, primary health centers (PHCs) are critical for universal health coverage. Laboratory service is one of its important components. While PHC and its performance are focused, its laboratory service has been neglected in developing countries like India. Aim: To determine the role of different level of PHC laboratory services on the overall PHC performance. Methods: Cross-sectional study based on 42 PHCs of Osmanabad District, Maharashtra, India was performed. The study used levels of laboratory services in PHC as independent parameter and PHC outpatient department (OPD) visits per day (≤ 80 versus > 80) as dependent parameter. The control parameters used in the study were number of medical doctors, availability of laboratory technicians (LTs) and population coverage by PHC. Field visit was done to collect data on levels of laboratory services, but secondary source was used for other parameters. The logistic regression analysis was performed in study. Findings: The study found variation in PHC population coverage (10 788–74 702) and OPD visits per day (40–182) across PHC. Strong positive association was observed between levels of laboratory services and number of OPD visits per day in PHC. PHC offering both malaria and tuberculosis in-house testing had higher odds (4.81) of getting more OPDs (≥ 80 OPD visits per day) as compared to PHC not offering in-house testing facility for malaria and tuberculosis. This association was stronger in PHCs with lower population coverage (0–75 quartile) as compared to PHCs with higher population coverage (75–100 quartile). Conclusion: Focus on laboratory services is needed to enhance the existing PHCs performance. Skill-up gradation of existing LT could help in improving the contribution of the existing laboratories in PHC functioning.

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Section: Introductionmentioning

confidence: 99%

Role of laboratory services in primary health center (PHC) outpatient department performance: an Indian case study

Jain

Rao

2019

Prim Health Care Res Dev

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“…There is large representation of laboratory tests, but the number and type of laboratory tests done in the Biochemical and Hematology Laboratory of the Primary Health Care Center Gracanica (9,10,11,13). In our study, among the total of 1000 required laboratory diagnosis was analytically examined 5553 tests; economically valued at 84,312 points.…”

Section: Discussionmentioning

confidence: 99%

“…This contributes to improving health care, especially in supporting development and regeneration of a wide range of standards, guidelines and other aspects of health care (8, 9, 10, 11, 12, 13). …”

Section: Introductionmentioning

confidence: 99%

Economic Analysis of Requests for Laboratory Tests in Primary Health Care Centers

Žunić¹

2012

Acta Inform Med

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Introduction:Operation of the Primary health care center and Medical-biochemical laboratories depends on the number of performed laboratory tests. The number of unnecessary tests significantly affect the operation of health institutions.Material and methods:We analyzed the 1000 requests for laboratory tests at the Primary Health Care Centre in Gracanica from primary care units. Based on the requests for laboratory diagnostics advisable diagnoses from primary health care unit in the Primary Health Care Center (PHC) we made an economic analysis of the total required laboratory tests in the requests for laboratory diagnosis. Incorporating the economic analysis of laboratory tests in requests for laboratory diagnosis by doctors in primary health care (PHC) and the economic analysis of laboratory tests by the disease in primary health care.Results:The economic value of 5333 laboratory tests was 84 312 points (1 point is 0.80 KM). Of the total value of the index score requirements of GPs are 44, 1%, the requirement of family doctors account for 40% and requirements of other specialists make up 15, 9%.. Discussion: In the requests of the PHC units for laboratory tests are required all levels of services: urine, CBC, SE, glucose, bilirubine, ALT, AST, AF, CK, cholesterol, HDL chol., triglicerdes, creatinine, urea, uric acid, CRP, fibrinogen, calcium and phosphorus. The following requests are the most common laboratory tests: urine, CBC, blood glucose, cholesterol, triglycerides, aminotransferases, creatinine, urea. The doctors in family practice most often requested: blood glucose, urine, CBC, SE, TGL. , Chol., ALT, AST, creatinine and urea. General practitioners were demanding more cholesterol and triglycerides, and family medicine doctors were demanding less cholesterol and triglycerides and more often CRP, fibrinogen, ALT, AST, what from the level of economic cost analysis rises the issue whether this was justified?

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“…Standard clinical chemistry analysers and assay kits: for use in determining basic biochemical parameters such as glucose, total bilirubin, ALT, AST, cholesterol, triglycerides, creatinine, urea, uric acid, ibrinogen, calcium and phosphorus, aminotransferases, etc [16]. …”

Section: Limitations Of Medical and Forensic Laboratory Servicesmentioning

confidence: 99%

Introductory Chapter: Linkages Between Clinical and Forensic Toxicology

Malangu¹

2017

Poisoning - From Specific Toxic Agents to Novel Rapid and Simplified Techniques for Analysis

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Additional information is available at the end of the chapter Overview on interconnections between sciences and professionals in case of poisoningPoisoning, whether acute or chronic, and whether accidental or deliberate, is one of the major causes of morbidity and mortality worldwide. International data gathered by the World Health Organization (WHO) suggest that at least an estimated over 100.000 people died worldwide from poisoning every year [1]. Of the factors contributing to this high loss of lives, is the misdiagnosing of poisoning due to lack of qualiied personnel and lack of appropriate medical equipment for conducting relevant investigations.Strictly speaking studying poisoning incidents, how they occur, their symptoms and signs, the toxic agents involved, the diagnosis and management thereof as well as the outcomes of treatment, is a multi-disciplinary endeavour that requires skills and competences in injury epidemiology, clinical and forensic, or analytical toxicology.

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Role of Laboratory Diagnostic Medical Biochemistry Services - Analysis of Requirements for the Laboratory Test in the Laboratory of primary Health Care Center

Cited by 8 publications

References 5 publications

Role of laboratory services in primary health center (PHC) outpatient department performance: an Indian case study

Role of laboratory services in primary health center (PHC) outpatient department performance: an Indian case study

Economic Analysis of Requests for Laboratory Tests in Primary Health Care Centers

Introductory Chapter: Linkages Between Clinical and Forensic Toxicology

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