Trends in indication of selected laboratory methods by general practitioners
Authors:
doc. MUDr. Ph.D. Bohumil Seifert; MUDr. Jana Vojtíšková; Ing Zdeněk Vitásek
Authors‘ workplace:
Ústav všeobecného lékařství 1. LF UK v Praze
1; Zaměstnanecká pojišťovna Škoda: Mladá Boleslav
2
Published in:
Čas. Lék. čes. 2016; 155: 116-120
Category:
Original Article
Overview
The indication of laboratory methods in general practice is significantly influenced by practical guidelines and protocols for preventive care. The financial regulation pushes on rationalisation of the use of laboratory methods. Point of care testing is more and more important in prevention, diagnostics and follow up in primary care settings.
Based on the data available from Škoda Insurance Company authors aimed to describe trends in induction and cost of laboratory methods, the most frequent methods used in primary care and trends in the use of POCT methods within general practice.
The expenditures for laboratory methods in general practice are stable for a long term and suggest a rational behaviour of general practitioners. The most frequently indicated methods in general practice are glycaemia, ALT and AST. From expensive methods the most frequent are PSA, troponin and tumormarkers. The number of general practices performing POCT methods and also the number of POCT examinations increase. More than one half of INR examinations and nearly half of all CRP examinations are performed in POCT regime.
Key words:
laboratory methods, clinical biochemistry, general practitioner, primary care, POCT
Sources
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Labels
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain managementArticle was published in
Journal of Czech Physicians
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