Primary care use of laboratory tests in spain: Measurement through appropriateness indicators

Clinical Laboratory

Volumn 60, Issue 3, 2014, Pages 483-490

  Salinas, Maria ^a,b   López GARRIGÓS, Maite ^a   Tormo, Consuelo ^c   Uris, Joaquín ^d  

^a San Juan Hospital   (Spain)

^b MIGUEL HERNÁNDEZ UNIVERSITY   (Spain)

^c HOSPITAL GENERAL UNIVERSITARIO DE ELCHE   (Spain)

^d UNIVERSITY OF ALICANTE   (Spain)

Author keywords

Benchmarking; Clinical laboratory; Indicators; Variability

Indexed keywords

ALANINE AMINOTRANSFERASE; ALKALINE PHOSPHATASE; ASPARTATE AMINOTRANSFERASE; BILIRUBIN GLUCURONIDE; C REACTIVE PROTEIN; CALCIUM; CREATININE; CYANOCOBALAMIN; FERRITIN; FOLIC ACID; GAMMA GLUTAMYLTRANSFERASE; GLUCOSE; HIGH DENSITY LIPOPROTEIN CHOLESTEROL; LACTATE DEHYDROGENASE; PHOSPHATE; PROSTATE SPECIFIC ANTIGEN; THYROTROPIN; THYROXINE; TRANSFERRIN; TRIACYLGLYCEROL; UREA;

ARTICLE; CROSS-SECTIONAL STUDY; FREE THYROXINE INDEX; GENERAL PRACTITIONER; HEALTH CARE UTILIZATION; HUMAN; LABORATORY TEST; MAJOR CLINICAL STUDY; PRIMARY MEDICAL CARE; SPAIN; URINALYSIS;

CLINICAL CHEMISTRY TESTS; HEMATOLOGIC TESTS; HUMANS; PRIMARY HEALTH CARE; SPAIN;

EID: 84896456591     PISSN: 14336510     EISSN: None     Source Type: Journal    
DOI: 10.7754/Clin.Lab.2013.130101     Document Type: Article

References (20)

1. Fowkes FG. Containing the use of laboratory tests. BMJ 1985;290:488.
2. Pons AR, Garcia-Raja A, Antich B, et al. Multidisciplinary model in the efficient clinical management of requested tests. Rev Lab Clin 2010;3:171-6.
3. Bareford D, Hayling A. Innappropriate use of laboratory services: long term combined approach to modify request patterns. BMJ 1990;301:1305-7.
4. Van Walraven C, Naylor CD. Do we know what inappropriate laboratory utilization is? A systematic review of laboratory clinical audits. JAMA 1998;280:550-8. (Pubitemid 28377676)
5. Rodriguez-Espinosa J. Clinical laboratory: use and misuse, management models and health expenditure. Med Clin (Barc) 2005;125:622-5. (Pubitemid 41783698)
6. Laposata M, Dighe A. "Pre-pre" and "post-post" analytical error: high-incidence patient safety hazards involving the clinical laboratory. Clin Chem Lab Med 2007;45:712-9. (Pubitemid 46956246)
7. Larsson A. Can we learn from studies on regional differences in the utilization of laboratory tests? Ups J Med Sci 2011;116:225-6.
8. Smellie WSA. Appropiateness of test use in pathology: a new era or reinventing the wheel? Ann Clin Biochem 2003;40:585-92. (Pubitemid 37421704)
9. Smellie WSA, Galloway MJ, Chinn D. Benchmarking general practice use of pathology services: a model for monitoring change. J Clin Pathol 2000;53:476-80. (Pubitemid 30396472)
10. Calderon-Margalit R, Mor-Yosef S, Mayer M, Adler B, Shapira SC. An administrative intervention to improve the utilization of laboratory tests within a university hospital. Int J Qual Health Care 2005;17:243-8. (Pubitemid 40873069)
11. Larsson A, Palmer M, Hultén G, Tryding N. Large differences in laboratory utilisation between hospitals in Sweden. Clin Chem Lab Med 2000;38:383-9.
12. Salinas M, López-Garrigós M, Pomares F, et al. An Evaluation of Hemoglobin A1c Test Ordering Patterns in a Primary Care Setting. Lab Medicine 2012;43:44-6.
13. Parle JV, Franklyn JA, Cross KW, Jones SC, Sheppard MC. Prevalence and follow-up of abnormal thyrotrophin (TSH) concentrations in the elderly in the United Kingdom. ClinEndocrin 1991;34:77-83.
14. Standards of Medical Care in Diabetes - 2010. American Diabetes Association. Diabetes Care 2011;3:511-61.
15. Smellie WS, Forth J, Bareford D, et al. Best practice in primary care pathology: review 3. J Clin Pathol 2006;59:781-9. (Pubitemid 44211739)
16. Galloway MJ, Smellie WS. Investigating iron status in microcytic anaemia. BMJ 2006;333:791-3. (Pubitemid 44583360)
17. Lumbreras B, Salinas M, López-Garrigós M. Variation in PSA tests ordering in primary care centers: tendencies 2002-2009. Clin Lab 2012;58:573-7.
18. Salinas M, López-Garrigós M, Lugo J, Gutiérrez M, Flors L, Leiva-Salinas C. Diagnostic accuracy of icteric index to detect abnormal total bilirubin values. J Clin Pathol 2012;65:928-33.
19. Tryding N, Hultdin J, Larsson A. Continuing education is the correct way to influence the use of laboratory analyses. Lakartidningen 2004;101:495-6. (Pubitemid 38223083)
20. Foreman RW. Why is the laboratory an afterthought for managed care organizations? Clin Chem 1996;42:813-6.