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Interdisciplinary Care: The Health Care Team-II01:18

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An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
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Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model
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一个可推广的决策框架,用于在现场选择临床实验室测试与发送临床实验室测试.

Lee F Schroeder1, Paul Rebman2, Parastu Kasaie2

  • 1Department of Pathology, University of Michigan School of Medicine, Ann Arbor, MI, USA.

Medical decision making : an international journal of the Society for Medical Decision Making
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概括

在现场和发送实验室测试之间做出选择取决于测试延迟和准确性的平衡. 当地测试通常在延迟显著降低临床效用或当地准确性高时优先进行.

关键词:
一般的CPCP一般的CP经济效益性 经济效益性决策分析 决策分析诊断网络的诊断网络是一个诊断网络.全球卫生健康全球卫生健康实验室网络的实验室网络.管理/行政管理.模型模型模型模型模型模型标本运输 标本运输 标本运输值方法是一个值方法.公用事业公用事业公司

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科学领域:

  • 医疗决策的制定 医疗决策的制定
  • 医疗保健服务研究 医疗服务研究
  • 实验室科学 实验室科学

背景情况:

  • 实验室网络提供现场测试或运输到更高层设施.
  • 测试安排决策涉及测试,治疗和流行病学之间的复杂相互作用.

研究的目的:

  • 为优化实验室测试布局开发一个可通用的模型.
  • 通过使用值方法,为在场测试与发送测试的决策提供信息.

主要方法:

  • 创建了一个决策模型来比较现场和发送测试实用程序.
  • 蒙特卡洛模拟用于确定最佳测试策略.
  • 结核病检测作为一个案例研究.

主要成果:

  • 由于发送延迟和现场测试准确度下降而失去的临床实用性是关键因素.
  • 当延误使实用性降低20%以上 (最小的准确性损失) 或超过50% (显著的准确性损失) 时,就会优先进行现场测试.
  • 相对成本影响值,特别是当测试费用超过治疗成本的10%时.

结论:

  • 值方法使得实验室测试安排的基于证据的决策成为可能.
  • 该模型考虑了因延迟和相对测试准确性而丧失的临床效用.
  • 这个框架可以适应各种实验室网络场景.