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Remote Laboratory Management: Respiratory Virus Diagnostics

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Managing the demand for laboratory testing: options and opportunities.

Pim M W Janssens¹

¹Laboratory of Clinical Chemistry and Haematology, Rijnstate Hospital, PO Box 9555, 6800 TA Arnhem, The Netherlands. pjanssens@alysis.nl

Clinica Chimica Acta; International Journal of Clinical Chemistry

|July 28, 2010

Summary

Managing hospital laboratory test ordering is crucial due to physician practices and rising demand. This review explores effective strategies like computerized decision support systems (CDSS) to optimize resource allocation.

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Area of Science:

Clinical Pathology
Health Services Research
Medical Economics

Background:

Physician knowledge and attitudes significantly influence laboratory test ordering.
Increasing test volumes strain limited hospital resources.
Potential for unnecessary or redundant laboratory testing exists.

Purpose of the Study:

To review methods for managing demand for laboratory tests in hospitals.
To evaluate the applicability and effectiveness of these management strategies in practice.

Main Methods:

Literature review of various demand management tools for laboratory testing.
Analysis of computerized decision support systems (CDSS).
Examination of reimbursement models (e.g., diagnosis-treatment combination) and budget allocation strategies.

Main Results:

Computerized laboratory management systems (CDSS) show promise for optimizing test ordering.
Reimbursement systems linked to diagnosis-treatment combinations can influence test utilization.
Allocating laboratory budgets to service requesters may improve resource management.

Conclusions:

Implementing effective management strategies is essential for controlling laboratory test demand.
CDSS, innovative reimbursement models, and budget allocation are promising tools.
Optimizing laboratory test ordering requires a multi-faceted approach considering clinical and economic factors.