2019 № 7 Some approaches to the labor normalization in the laboratory diagnostics
The laboratory service is one of the most difficult from the point of view of labor normalization, which is determined,
first of all, by the many and ever-increasing number of studies, the variety of equipment used, etc. Laboratory
labor standards were developed more than 20 years ago. They relate primarily to non-automated techniques and do not
reflect the modern organization of labor, new laboratory technologies, etc. Due to the lack of centrally developed labor
standards, medical organizations are forced to determine the load indicators, the number of necessary laboratory workers
mainly by expert means, or try to independently develop labor standards. In these conditions, it is necessary to determine
the main approaches to the implementation of labor standards in the laboratory service, to develop normalization methods
for various research groups. The authors' suggestions were the result of joint research by Federal Research Institute for
Health Organization and Informatics of Ministry of Health of the Russian Federation (Moscow) and St. Petersburg State
Budgetary Healthcare Institution Consultative and Diagnostic Center for Children (St. Petersburg).
2017 № 7 The issues of creation and functioning of centralized laboratories in the system of compulsory medical insurance
Centralization of laboratory diagnostics is a time commitment associated with the benefits it provides. However, the appeal to this topic is also connected with the new factors that are considered in the article. The difference in the regional features of the organization of health care, the availability of various sources of financial support for medical organizations, etc., suggest a distinction between specific models of centralization, the system of financial relationships, etc. In addition, the centralization of the laboratory service, having undoubted merits, also carries certain risks and threats that must be taken into account. This article addresses these and other issues related to the practical aspects of the centralization of the laboratory service.
2022 № 6 Expert validation of the clinical laboratory service models’ standardized descriptors
Introduction. The growing demand for the availability and quality of clinical laboratory tests has necessitated the search for new approaches to organizing and management of laboratory services. At the same time, needs a systematic description of the laboratory services organization models as a background for further improvement. Objective: to validate the description of the laboratory services organization models by standardized characteristics. Methods. A sociological study carried out on the principles of a systematic approach. Research methods: sociological (expert assessments), analytical, statistical. Results and discussion. The inter-expert agreement for the centralization (consolidation) model was 0,626 (95% CI 0,516–0,711), outsourcing (decentralization) – 0,747 (95% CI 0,672–0,804), horizontal integration – 0,784, 95% CI 0,720–0,833, mobile (pointto-care) model – 0,883 (95% CI 0,848–0,909). The first value interpreted as doubtful, significant adjustments made to the model characteristics. The second and third values – as sufficient, minimal adjustments made. Fourth – as good, the description was not changed. The final SWOT-analysis matrices for four models formed. Conclusions. Thanks to expert validation, a methodical change from an empirical to a scientifically based standardized description of the four basic laboratory services organization models made.