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Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model
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Published on: October 31, 2010

A clinician's perspective on laboratory utilization management.

D Dante Yeh1

  • 1Clinical Instructor, Harvard Medical School, Massachusetts General Hospital, 165 Cambridge St. #810, Boston, MA 02114, United States.

Clinica Chimica Acta; International Journal of Clinical Chemistry
|October 3, 2013
PubMed
Summary
This summary is machine-generated.

Excessive laboratory utilization in hospitals is driven by factors like fear and practice inertia. Multi-faceted interventions combining education, feedback, and administrative changes are most effective for optimizing clinician ordering behavior.

Keywords:
Clinician perspectiveLaboratory test utilizationUtilization interventionsUtilization management

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Area of Science:

  • Healthcare Management
  • Clinical Practice Optimization
  • Health Economics

Background:

  • Excessive laboratory utilization presents a significant challenge within hospital settings.
  • Physicians significantly influence healthcare costs, controlling up to 80%.

Purpose of the Study:

  • To review the multifaceted reasons behind the overutilization of laboratory services.
  • To recommend evidence-based interventional strategies for modifying clinician ordering behaviors.

Main Methods:

  • This study is a comprehensive review article.
  • Analysis of factors contributing to excessive laboratory test ordering.
  • Identification of effective strategies to curb unnecessary lab utilization.

Main Results:

  • Key drivers of overutilization include fear of missed diagnoses, inexperience, peer influence, financial incentives, practice inertia, and legal concerns.
  • Automated order entry features, like bundling and default settings, exacerbate wasteful ordering patterns.
  • Numerous factors contribute to the overutilization of laboratory services.

Conclusions:

  • Multi-faceted interventions integrating education, feedback, audits, and administrative changes yield the most successful and sustainable outcomes.
  • Strong support from senior physicians and hospital administration is crucial for intervention success.
  • Interventions developed by multi-disciplinary committees of respected professionals are ideal.