Advertisement
Research Article| Volume 5, ISSUE 4, P623-634, December 1985

Maintaining the Quality of Laboratory Services in a Cost-Containment Environment

  • Raymond D. Aller
    Correspondence
    Department of Pathology, Santa Barbara Cottage Hospital, P.O. Box 689, Santa Barbara, California 93102
    Affiliations
    Assistant Clinical Professor, Department of Pathology, University of Southern California School of Medicine, Los Angeles, California

    Pathologist, Department of Pathology, Santa Barbara Cottage Hospital, Santa Barbara, California
    Search for articles by this author
DOI:https://doi.org/10.1016/S0272-2712(18)30836-9
Maintaining the Quality of Laboratory Services in a Cost-Containment Environment
Previous ArticleForeword
Next ArticleQuantitative Analysis of Cost-Savings Strategies in the Clinical Laboratory
      This paper is only available as a PDF. To read, Please Download here.
      Cutting costs while maintaining quality requires a very complete understanding of laboratory medicine and laboratory management. The pathologist must take the lead in maximizing the usefulness of laboratory information, while minimizing costs of labor, reagents, send-outs, equipment, maintenance, space, and overhead. Consideration is given to evaluation of alternative labortatory arrangements, streamlining of quality control, and monitoring and optimizing laboratory utilization, in cooperation with the clinician.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribers receive full online access to your subscription and archive of back issues up to and including 2002.

      Content published before 2002 is available via pay-per-view purchase only.

      Subscribe:

      Subscribe to Clinics in Laboratory Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Register: Create an account
      Institutional Access: Sign in to ScienceDirect

      References

        • Aller R.D.
        Surviving prospective reimbursement: How computers can help contain lab costs.
        Pathologist. 1985; 39: 12-16
        • Altshuler C.H.
        • Bareta J.
        • Cafaro A.F.
        • et al.
        The PALI and SLIC systems.
        C.R.C. Crit. Rev. Clin. Lab. Sei. 1972; 3: 379-402

      3. Carlova, J.: Where contract medicine has already led to chaos. Med. Econ., June 11, 1984, pp. 123–140.

        • Conn R.B.
        • Aller R.D.
        • Lundberg G.D.
        Identifying costs of medical care—an essential step in allocating resources.
        J.A.M.A. 1985; 253: 1586-1589
        • Connelly D.
        A cooperative strategy for curbing test abuse.
        Med. Lab. Observ. 1984; 16: 40-46
        • Crowson T.W.
        • Rich E.C.
        • Woolfrey B.F.
        • et al.
        Overutilization of cultures of CSF for mycobacteria.
        J.A.M.A. 1984; 251: 70-72

      7. Morgan, J. W.: Are we outdating reagents too soon? Med. Lab. Observ., July, 1985, pp. 55–58.

        • Myhre B.A.
        Fatalities from blood transfusion.
        J.A.M.A. 1980; 244: 1333-1335
        • Peters T.J.
        • Waterman R.H.
        In Search of Excellence.
        Harper and Row, New York1982
        • Rang M.
        The Ulysses syndrome.
        Can. Med. Assoc. J. 1972; 106: 122-123
        • Statland B.E.
        Teleconference on cost containment.
        Spring, American Society of Clinical Pathologists1984
        • Tydeman J.
        • Morrison J.I.
        • Hardwick D.F.
        • et al.
        The cost of quality control procedures in the clinical laboratory.
        Am. J. Clin. Pathol. 1982; 77: 528-533

      13. Umiker, W. O.: Pathologists must delegate—not abdicate. Med. Lab. Observ., April 1983, pp. 55–58.

        • Winkelman J.W.
        Less utilization of the clinical laboratory produces disproportionately small true cost reductions.
        Hum. Pathol. 1984; 15: 499-501

      15. Winkelman, J. W., and Martin, B. G.: Modifications for expense reduction: Introduction to a five-part series. Lab. Med., 15(9):592–594, 1984. Parts: 15(9):609–613, 15(10):670- 672, 15(11):763–765, 15(12):822–825, 16(1):41–44, 1985.

        • Wong E.T.
        • Lincoln T.L.
        Ready! Fire! Aim! An inquiry into laboratory test ordering.
        J.A.M.A. 1983; 250: 2510-2513
        • Wong E.T.
        • McCarron M.M.
        • Shaw S.T.
        Ordering of tests in a teaching hospital. Can it be improved?.
        J.A.M.A. 1983; 249: 3076-3080
        • Workload Recording Committee
        Manual for Laboratory Workload Recording Method.
        College of American Pathologists, Chicago1985

      Article info

      Identification

      DOI: https://doi.org/10.1016/S0272-2712(18)30836-9

      Copyright

      © 1985 Elsevier Inc. Published by Elsevier Inc. All rights reserved.

      ScienceDirect

      Access this article on ScienceDirect

      The content on this site is intended for healthcare professionals.


      We use cookies to help provide and enhance our service and tailor content. To update your cookie settings, please visit the Cookie Preference Center for this site.
      Copyright © 2023 Elsevier Inc. except certain content provided by third parties.


      RELX