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The Top 25 Laboratory Tests by Volume and Revenue in Five Different Countries
Susan Horton1, Kenneth A Fleming2, Modupe Kuti3
1School of Public Health and Health Systems, University of Waterloo, Waterloo, Canada.
American Journal of Clinical Pathology
|December 12, 2018
Summary
Common diagnostic laboratory tests show similar top performers by volume and revenue across five hospitals. However, test rankings differ between volume and revenue, with pathology tests yielding the highest reimbursement rates.
Area of Science:
- Health Services Research
- Clinical Laboratory Science
Background:
- Diagnostic and laboratory testing is a cornerstone of modern healthcare delivery.
- Understanding test utilization and revenue is crucial for resource allocation and healthcare system efficiency.
Purpose of the Study:
- To compare the most frequently ordered diagnostic and laboratory tests across five distinct referral hospitals.
- To analyze these tests based on both volume of use and associated revenue.
Main Methods:
- Data were collected on the top 25 most common tests from five affiliated referral hospitals.
- Volumes and reimbursement rates were standardized for comparability.
- Simple descriptive statistics were employed for cross-hospital analysis.
Main Results:
- Significant similarities were observed in the top five tests by volume and revenue across all five hospitals.
- The composition of the top five tests by volume differed from those by revenue.
- Reimbursement rates exhibited a pattern: lowest for biochemical tests, intermediate for hematology and microbiology, and highest for pathology tests.
Conclusions:
- The study identified common patterns in high-volume and high-revenue diagnostic tests across multiple hospitals.
- Findings suggest that many common tests align with the Essential Diagnostics List, potentially informing universal health coverage strategies.
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