Laboratory Medicine: The Need for a Broader View. The “Multiple Bundle” Model of Clinical Laboratory Function
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Marek H. Dominiczak
Abstract
The essence of the nineties in health care, in business, in organizational management and in education, has been change. As always in a changing environment, there will be winners and losers. In the September issue of CCLM, Williamson wrote: “Poor clinical chemistry. It is a field trapped between pressures from increasing electronic automation of assays, simplified technology and reductionism of molecular genetics and the growing pressure of economic accountability and cost cutting. It may not survive” (1). Should we all be on Prozac and wait for the doomsday?
Our problems are not unique. Some time ago, traditional cardiology was “trapped” between the advent of new invasive techniques on the one hand and a pressure to increase emphasis on prevention on the other. How did it end? Most of today's cardiologists are invasive cardiologists and many became leaders in cardiovascular prevention in addition to their “traditional” tasks (2). This is a classical example of a paradigm shift.
The present article suggests that at least some of our problems may stem from too narrow a view of laboratory medicine that we present to decision makers who allocate funds to laboratory services.
Copyright (c)1999 by Walter de Gruyter GmbH & Co. KG
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- Screening School Children for Albuminuria, Proteinuria and Occult Blood with Dipsticks
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Articles in the same Issue
- Evolution or Revolution in Clinical Chemistry
- Low Levels of Plasma Proteins: Malnutrition or Inflammation?
- Laboratory Medicine: The Need for a Broader View. The “Multiple Bundle” Model of Clinical Laboratory Function
- Activated Protein C (APC)-Resistance: Automated Detection of the Point Mutation at Position 1691 in the Factor V Gene
- A Rapid and Sensitive Automated Light Scattering Immunoassay for Serum C-Reactive Protein and the Definition of a Reference Range in Healthy Blood Donors
- Photodynamic Effects In Vitro in Fresh GynecologicTumors Analyzed with a Bioluminescence Method
- An ELISA for the H-Subunit of Human Ferritin which Employs a Combination of Rabbit Poly- and Mice Monoclonal Antibodies and an Enzyme Labeled Anti-Mouse-IgG
- The Use of Free Cortisol Index for Laboratory Assessment of Pituitary-Adrenal Function
- Allele-Specific Amplification for the Diagnosis of Autosomal Recessive Spinal Muscular Atrophy
- Diagnostic Value of Biochemical Markers of Bone Turnover and Postmenopausal Osteoporosis
- Isoenzmyes of Class I and II Alcohol Dehydrogenase in Chronic Hepatitis
- Screening School Children for Albuminuria, Proteinuria and Occult Blood with Dipsticks
- Evaluation of the First Automated Thyroglobulin Assay
- Selective Imidazoline Receptor Agonists and Lipid Metabolism
- Judgement on Analytical Quality Requirements from Published Clinical Vignette Studies Is Flawed
- The Meaning of Good Laboratory Practice (GLP) for the Medical Laboratory
- Improved Procedure of Measuring on Radiometer 500 and 600 Series Bloodgas Analysers
- Scientific Papers and Presentations by Martha Davis
- New Myocardial Marker Proteins in Acute Myocardial Infarction. Quantitative Aspects by J. A. Kragten
- Normalwerte by Michael Jakob
- Meetings
