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[Clinical chemistry and bacteriological testing in Iceland 1990.]
Insights
Clinical laboratory testing in Iceland increased significantly between 1982 and 1990, with 1.7 million assays performed in 1990. Bacteriological and clinical chemistry tests saw the largest growth, while hematological tests remained stable.
Area of Science:
- Medical laboratory science
- Public health surveillance
- Healthcare analytics
Context:
- This study analyzes clinical laboratory testing volumes and types in Iceland during 1990.
- Data was collected from hospitals, primary care centers, and private clinics, with response rates of 61% from 85 surveyed institutions.
- Estimates were made for non-responding institutions to provide a comprehensive national overview.
Purpose:
- To quantify the total number and types of clinical laboratory assays performed in Iceland in 1990.
- To compare testing trends between 1982 and 1990, identifying changes in different healthcare settings and test categories.
- To establish a baseline for future monitoring of laboratory service utilization.
Summary:
- A total of 1.7 million clinical laboratory assays were performed in Iceland in 1990, averaging 6.7 tests per person.
- Compared to 1982, non-bacteriological tests increased by 23.2%, with significant growth in bacteriological (53%) and clinical chemistry (49%) assays.
- Hematological tests showed minimal increase (1%), while urine tests decreased by 25%. Blood count and ESR were the most frequent assays.
Impact:
- Provides crucial data on the utilization of diagnostic laboratory services in Iceland during a specific period.
- Highlights significant shifts in testing patterns, particularly the rise in bacteriological and chemistry analyses.
- Informs healthcare policy, resource allocation, and future research on laboratory testing trends and efficiency.
Abstract:
In this article we present the number and composition of clinical laboratory testing, both haematological, biochemical and bacteriological, performed at hospitals, primary care centers and private clinics in Iceland, in the year 1990. Inquiries were sent to 85 institutions, 52 (61%) responded. The number of assays performed at the laboratories/institutions not responding was estimated. The total number of assays performed in 1990 at these Icelandic institutions was 1.7 million which equals to 6.7 tests per person. Comparison to a similar investigation of assays done in 1982 showed that for those institutions which participated both years the number of tests other than bacteriological tests had increased by 23.2%. Tests done at larger hospitals had increased by 30%, at intermediate sized hospitals they had increased by 14.5%, and testing at primary care centers had decreased by 10% between 1982 and 1990. Bacteriological and clinical chemistry tests increased significantly or by 53% and 49% respectively. On the other hand hematological tests increased only by 1% and tests on urine decreased by 25%. By far the most common assay performed was blood count, ESR came second both years.
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