Research Article| Volume 5, ISSUE 4, P665-672, December 1985

Cost-Effective Use of Laboratory Tests: A Joint Responsibility of Clinicians and Laboratorians

  • Edward T. Wong
    Section of Laboratories and Pathology, LAC-USC Medical Center, Room 2900, GH 1200 North State Street, Los Angeles, California 90033-1084
    Professor, Department of Pathology, University of Southern California School of Medicine; and Associate Director, Section of Laboratories and Pathology, Los Angeles County-University of Southern California Medical Center, Los Angeles, California
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      Cost-effective improvements in the use of laboratory tests may require modifying the clinician’s test ordering behavior and also changing the laboratory’s testing procedures where appropriate. Because laboratory tests are important elements of medical practice, the cost-effective use of laboratory tests and services is the joint responsibility of the clinician and the clinical laboratory.
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        • Blomberg D.J.
        • Kimber W.D.
        • Burke M.D.
        Creatine kinase isoenzymes: Predictive value in the early diagnosis of acute myocardial infarction.
        Am. J. Med. 1975; 59: 464-469
        • Fetter R.B.
        • Shin Y.
        • Freeman J.L.
        • et al.
        Case mix definition by diagnosis-related groups.
        Med. Care. 1980; 18: 1-53
        • Fisher M.L.
        • Carliner N.H.
        • Becker L.G.
        • et al.
        Serum creatine kinase in the diagnosis of acute myocardial infarction: Optimal sampling frequency.
        J.A.M.A. 1983; 249: 393-394
        • Irvin R.G.
        • Cobb F.R.
        • Roe C.R.
        Acute myocardial infarction and MB creatine phosphokinase: Relationship between onset of symptoms and appearance and disappearance of enzyme.
        Arch. Intern. Med. 1980; 140: 329-334
        • Kadar N.
        • DeVore G.
        • Romero R.
        The preoperative diagnosis of ectopic pregnancy: I. The discriminatory B-hCG zone.
        Obstet. Gynecol. 1981; 58: 156-161
        • Marrs R.P.
        • Mishell Jr., D.R.
        Placental trophic hormones.
        Clin. Obstet. Gynecol. 1980; 23: 721-729
        • 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 Jr., S.T.
        Ordering of laboratory tests in a teaching hospital: Can it be improved?.
        J.A.M.A. 1983; 249: 3076-3080
        • Wong E.T.
        • Steifes M.W.
        A fundamental approach to the diagnosis of disease of the thyroid gland.
        Clin. Lab. Med. 1984; 4: 655-670