The Organisation of the National Health Care and its Consequences on the Clinical Chemistry Laboratory in Nigeria

1989 ◽  
pp. 487-496
Author(s):  
Popo A. Akinyanju
Keyword(s):  
Health Care ◽  
National Health ◽  
Clinical Chemistry ◽  
Chemistry Laboratory ◽  
National Health Care ◽  
Clinical Chemistry Laboratory

Activity-based cost analysis of laboratory tests in clinical chemistry

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Baptist Declerck ◽  
Mathijs Swaak ◽  
Manuella Martin ◽  
Katrien Kesteloot
Keyword(s):  
Health Care ◽  
Average Cost ◽  
Economies Of Scale ◽  
Clinical Chemistry ◽  
Unit Cost ◽  
University Hospital ◽  
Chemistry Laboratory ◽  
Activity Based Costing ◽  
Clinical Chemistry Laboratory ◽  
The Cost

Abstract Ojectives Since health care budgets are limited and must be allocated efficiently, there is an economic pressure to reduce the costs of health care interventions. This study aims to investigate the cost of testing within a Clinical Chemistry laboratory. Methods This study was conducted in the Clinical Chemistry laboratory of the University Hospital UZ Brussel, Belgium, in which 156 tests were included and an average cost per test was calculated for the year 2018. Activity-based costing (ABC) was applied, using a top-down perspective. Costs were first allocated to different activity centers and subsequently to different tests. Number of tests, parameters, analyzers and time estimates were used as activity cost drivers. Results The blood glucose test on the point-of-care testing (POCT) analyzer Accu Chek Inform II had the lowest unit cost (€0.92). The determination of methanol, ethanol and isopropanol on the GC-FID (7820A) is the test with the highest unit cost (€129.42). In terms of average cost per test per activity center, core laboratory (€3.37) scored lowest, followed consecutively by POCT (€3.49), diabetes (€22.09), toxicology (€31.52), metabolic disorder (€41.53) and cystic fibrosis (€86.02). The cost per test was mainly determined by staff (57%), costs of support services (23%) and reagents (14%). Conclusions High-volume and automated tests have lower unit costs, as is the case with the core laboratory. ABC provides the ability to identify high average cost tests that can benefit from optimizations, such as focusing on automation or outsourcing low-volume tests that can benefit from economies of scale.

National Health Care: Our #1 Priority

1994 ◽  
Author(s):  
Dorothy W. Cantor ◽  
Keyword(s):  
Health Care ◽  
National Health ◽  
National Health Care

A Punched-Card System for the Laboratory

1962 ◽  
Vol 8 (5) ◽  
pp. 538-545 ◽  
Author(s):  
Nathan Radin
Keyword(s):  
Clinical Chemistry ◽  
Laboratory Data ◽  
Chemistry Laboratory ◽  
Test Card ◽  
Clinical Chemistry Laboratory ◽  
Original Laboratory ◽  
Numerical Order ◽  
Card System ◽  
A Charge ◽  
Laboratory Record

Abstract A punched-card system was developed to simplify the administrative aspects of the clinical chemistry laboratory. In it a three-part requisition and samples are matched and given a laboratory number. The third copy of the original laboratory requsition is a charge card also used as a name file for the day. Prepunched cards, coded for laboratory tests, are used for each test requested. The laboratory number is stamped and punched on each test card. All test cards are then sorted into laboratory test groups, after which the laboratory data and results are recorded on them. Cards are then sorted for laboratory number and rematched with the original laboratory requisitions, which remained in numerical order. Results are then copied directly onto the requisitions. The system is more efficient, less susceptible to error, and simpler than other laboratory record systems.

A Prescription for National Health Care Reform

1993 ◽  
Vol 28 (4) ◽  
pp. 21-28
Author(s):  
Quentin B. Deming
Keyword(s):  
Health Care ◽  
Health Care Reform ◽  
National Health ◽  
National Health Care

scholarly journals Radiofrequency assisted hepatic resection for providing cost-effective hepatectomies in a national health care system in a financial crisis

HPB ◽  
2020 ◽  
Vol 22 ◽  
pp. S128
Author(s):  
C. Christou ◽  
A. Tooulias ◽  
A. Mitsas ◽  
A. Tsolakidis ◽  
G. Tsoulfas ◽  
...  
Keyword(s):  
Health Care ◽  
Financial Crisis ◽  
Hepatic Resection ◽  
Health Care System ◽  
National Health ◽  
Cost Effective ◽  
National Health Care ◽  
National Health Care System ◽  
Care System
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