Physician's Satisfaction from Laboratory Services in Maternity and Children Hospital in Makkah

Abstract Background Primary healthcare centers (PHC) ensure that patients receive comprehensive care from promotion and prevention to treatment, rehabilitation, and palliative care in a familiar environment. It is designed to provide first-contact, continuous, comprehensive, and coordinated patient care that will help achieve equity in the specialty healthcare system. The healthcare in Saudi Arabia is undergoing transformation to Accountable Care Organizations (ACO) model. In order for the Kingdom of Saudi Arabia (KSA) to achieve its transformational goals in healthcare, the improvement of PHCs’ quality and utilization is crucial. An integral part of this service is the laboratory services. Methods This paper presents a pilot model for the laboratory services of PHC's in urban cities. The method was based on the FOCUS-PDCA quality improvement method focusing on the pre-analytical phase of the laboratory testing as well as the Saudi Central Board for Accreditation of Healthcare Institutes (CBAHI) gap analysis and readiness within the ten piloted primary healthcare centers. Results The Gap analysis, revealed in-consistency in the practice, lead to lower the quality of the service, which was seen in the low performance of the chosen key performance indicators (KPI's) (high rejection rates, lower turn-around times (TAT) for test results) and also in the competency of the staff. Following executing the interventions, and by using some of the ACO Laboratory strategies; the KPI rates were improved, and our results exceeded the targets that we have set to reach during the first year. Also introducing the electronic connectivity improved the TAT KPI and made many of the processes leaner. Conclusions Our results revealed that the centralization of PHC's laboratory service to an accredited reference laboratory and implementing the national accreditation standards improved the testing process and lowered the cost, for the mass majority of the routine laboratory testing. Moreover, the model shed the light on how crucial the pre-analytical phase for laboratory quality improvement process, its effect on cost reduction, and the importance of staff competency and utilization.

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Study of the ex-post moral hazard of laboratory services in Iran

Health Policy OPEN ◽

10.1016/j.hpopen.2021.100031 ◽

2021 ◽

Vol 2 ◽

pp. 100031

Author(s):

Seyed Alireza Otobideh ◽

Hasan Yusefzadeh ◽

Siamak Aghlmand ◽

Cyrus Alinia

Keyword(s):

Moral Hazard ◽

Laboratory Services ◽

Ex Post ◽

Ex Post Moral Hazard

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Views and attitudes of university students in Upper Egypt towards youth health centers

Journal of Egyptian Public Health Association ◽

10.1186/s42506-020-00046-x ◽

2020 ◽

Vol 95 (1) ◽

Author(s):

Mohamed M. Abd El-Mawgod ◽

Shimaa A. Elghazally ◽

Heba M. Mohammed ◽

Mariam Roshdy Elkayat ◽

Doaa M. M. Osman

Keyword(s):

University Students ◽

Cross Sectional Study ◽

Health Needs ◽

University Campus ◽

Youth Health ◽

Cross Sectional ◽

Upper Egypt ◽

Sexually Transmitted ◽

Laboratory Services ◽

The University

Abstract Background A healthy youth is considered the major human resource for any country development. They are suffering from unmet health needs. Considering these needs and their attitude towards the use of youth health center (YHC) services would help to improve both the quality and quantity of these services. Objectives To identify the students’ perceived health needs and their attitude towards use of the YHCs in Assiut University campus, Upper Egypt a cross-sectional study was conducted among 305 randomly selected university students. Data were collected using an interviewer-administered questionnaire. Results The majority of the students (80%) said that youth have special health needs. The most reported needs were psychological support, health education on different topics including reproductive health and sexually transmitted diseases, and nutritional services respectively. There was a high perception among surveyed students (71.5%) that the existing health services are inadequate for meeting their needs. Counseling, laboratory services, and premarital examination were the most frequently reported services mentioned by youth to be offered in YHCs. The majority (78.1%) preferred the health provider to be of the same sex. Despite the prevailing conservative culture in Upper Egypt, the students had positive attitude towards availability of sexual and reproductive information and establishment of a YHC in the university campus. A low awareness rate (15.1%) about the already existing YHC in university campus was revealed. Conclusion University students perceived that there are unmet needs for youth-specialized services, mainly for providing sexual and reproductive information, and establishment of an on-campus YHC. The study provides important information for policymakers about the perspectives of youth which should be taken into consideration when new YHC are planned and implemented.

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A cross-case analyses of laboratory professionals-patients interaction for patients accessing laboratory services at University of Cape Coast hospital and Ewim Polyclinic in the Cape Coast Metropolis, Ghana

BMC Health Services Research ◽

10.1186/s12913-021-06560-8 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Patrick Adu

Keyword(s):

Laboratory Testing ◽

Sampling Period ◽

Turnaround Time ◽

Sub Saharan Africa ◽

Cape Coast ◽

Microsoft Excel ◽

Laboratory Staff ◽

Laboratory Services ◽

Staff Interactions ◽

Sub Saharan

Abstract Background There is scarcity of data on experiences of patients who access laboratory services during hospital visits in sub-Saharan Africa. This study sought to evaluate the depth of laboratory professionals-patient interactions during pre- and post-sampling period at two hospitals in Ghana. Methods This study used real time observations of patient-laboratory staff interactions to collect first-hand data. Additionally, two separate sets of semi-structured questionnaires were used to collect data on the experiences of patients and laboratory professionals. Data were entered into Microsoft Excel and analysed using SPSS version 25. Results Inadequate laboratory space is a major factor limiting adequacy of patients-laboratory professionals’ interactions. Overall, even though the laboratory professionals (93.3%) overwhelmingly agreed to the need to inform patients about the turnaround time of the respective laboratory testing, this was not routinely done. Irrespective of patients’ educational attainment, patients were poorly informed about their respective laboratory tests. Although both patients and laboratory professionals (60.0% vs 63.6% respectively) indicated that the test requester has responsibility to inform patients about their laboratory testing, only 29.1% of patients indicated having received such explanations. Furthermore, although 28.1% of patients indicated knowing the specifics of their respective test requisition, only 15% could correctly identify their requested laboratory testing. Conclusion There is the need for standard operating protocols to standardize practitioner-patient interaction at the two facilities. Moreover, there is the need for laboratory staff-test requester engagement to clearly delineate who has what responsibilities regarding informing patients about laboratory testing.

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Centralised laboratory services

The Lancet ◽

10.1016/0140-6736(90)91353-c ◽

1990 ◽

Vol 335 (8700) ◽

pp. 1284

Author(s):

J.N. Webb

Keyword(s):

Laboratory Services

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Active Tuberculosis Case Finding in Port-au-Prince, Haiti: Experiences, Results, and Implications for Tuberculosis Control Programs

Tuberculosis Research and Treatment ◽

10.1155/2016/8020745 ◽

2016 ◽

Vol 2016 ◽

pp. 1-11 ◽

Cited By ~ 3

Author(s):

Guesly J. Delva ◽

Ingrid Francois ◽

Cassidy W. Claassen ◽

Darwin Dorestan ◽

Barbara Bastien ◽

...

Keyword(s):

Case Finding ◽

Case Detection ◽

Tuberculosis Case ◽

Community Screening ◽

Control Programs ◽

Number Needed To Screen ◽

Laboratory Services ◽

Smear Negative ◽

Hiv Negative

Background. Haiti has the highest tuberculosis (TB) prevalence in the Americas with 254 cases per 100,000 persons. Case detection relies on passive detection and TB services in many regions suffer from poor diagnostic and clinical resources.Methods.Mache Chache(“Go and Seek”) was a TB REACH Wave 3 funded TB case finding project in Port-au-Prince between July 2013 and September 2014, targeting four intervention areas with insufficient TB diagnostic performance.Results. Based on a verbal symptom screen emphasizing the presence of cough, the project identified 11,150 (11.75%) of all screened persons as TB subjects and 2.67% as smear-positive (SS+) TB cases. Enhanced case finding and strengthening of laboratory services led to a 59% increase in bacteriologically confirmed cases in the evaluation population. In addition, smear grades dropped significantly, suggesting earlier case detection. Xpert® MTB/RIF was successfully introduced and improved TB diagnosis in HIV-infected, smear-negative clinic patients, but not in HIV-negative, smear-negative TB suspects in the community. However, the number needed to screen for one additional SS+ case varied widely between clinic and community screening activities.Conclusion. Enhanced and active TB case finding in Haiti can improve TB diagnosis and care. However, screening algorithms have to be tailored to individual settings, necessitating long-term commitment.

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Quality specifications: self pleasure for clinical laboratories or added value for patient management?

Clinical Chemistry and Laboratory Medicine (CCLM) ◽

10.1515/cclm.2007.094 ◽

2007 ◽

Vol 45 (4) ◽

Cited By ~ 16

Author(s):

Mario Plebani

Keyword(s):

Decision Making ◽

Patient Management ◽

Clinical Decision Making ◽

Laboratory Data ◽

Clinical Decision ◽

Added Value ◽

Internal Quality ◽

Laboratory Services ◽

Management Procedures ◽

Quality Specifications

AbstractAnalytical quality specifications play a key role in assuring and continuously improving high-quality laboratory services. However, I believe, that there are two “missing links” in the effective management of quality specifications in the delivery of laboratory services. The first is the evidence that pre-analytical variation and related problems are not taken into great consideration by laboratory professionals. The second missing link is the communication of quality specifications to clinicians and other possible stakeholders. If quality specifications represent “the level of performance required to facilitate clinical decision-making”, they cannot be used only for internal quality management procedures but must be communicated to facilitate clinical reasoning, decision-making and patient management. A consensus should be achieved in the scientific community on these issues to assure better utilization of laboratory data and, ultimately, improved clinical outcomes.Clin Chem Lab Med 2007;45:462–6.

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