The Pursuit of Value in Laboratory Medicine - Progress and Challenges

The Clinical Biochemist. Reviews
Andrew St John

Abstract

The pressure on healthcare budgets including laboratory medicine is relentless and the focus on activities and costs remains the dominant funding model of laboratory medicine everywhere. The limitations of this model are well documented and for a decade or more laboratory professions worldwide have started looking at alternative models where the value of laboratory medicine and its impact on patient outcomes are the predominant driving force. There are multiple ways to determine the value of a medical test, particularly if one takes into consideration its impact upon the complete clinical pathway. Thus various approaches to value determination are being explored by a number of international organisations. These organisations will be reviewed below, including one which uses the concept of a value proposition that describes in detail how a test should be implemented by measuring its clinical, operational and economic impact. All approaches for determination of value require professional leadership. There is a need for research of varying types including that related to translating global evidence into local practice, a key challenge facing laboratory medicine and healthcare generally. Another challenge is to think and act beyond ...Continue Reading

Citations

Sep 10, 2020·The Journal of Applied Laboratory Medicine·Andrea Ferreira-Gonzalez
Feb 2, 2021·Journal of the American Society for Mass Spectrometry·Nico P M SmitChrista M Cobbaert
Feb 9, 2021·Clinical Chemistry and Laboratory Medicine : CCLM·Christa CobbaertJudith Gillis
Feb 24, 2021·Clinical Proteomics·T T van DuijlC M Cobbaert

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