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Structuring complexity of testing: a process oriented approach to limiting unnecessary laboratory use.

D F Hardwick, J I Morrison, J Tydeman

The American Journal of Medical Technology

|July 1, 1982

Summary

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Structuring complexity in medical investigations, where lab testing intensifies with diagnostic needs, reduced thyroid test use by 15% and costs by 12%. This highlights the need for selective laboratory protocols.

Area of Science:

Clinical Chemistry
Health Services Research

Background:

Medical investigations often involve escalating laboratory examination intensity based on perceived diagnostic complexity.
Developing cost-effective and efficient laboratory protocols is crucial in healthcare.

Purpose of the Study:

To apply the concept of structuring complexity to laboratory testing protocols.
To evaluate the impact of a structured complexity protocol on test utilization and costs for thyroid testing.

Main Methods:

Implementation of a clinical chemistry protocol for thyroid testing in ambulatory care patients.
Analysis of test usage and laboratory charges over a two-year period.

Main Results:

A 15% reduction in overall thyroid test utilization was observed.

Related Experiment Videos

Laboratory charges decreased by 12% for the third-party paying agent.

Conclusions:

The concept of structuring complexity can lead to significant reductions in laboratory test use and associated costs.
Medically acceptable protocols that promote selective test utilization are essential for cost containment in laboratory medicine.