The clinical laboratory is an essential component of the medical-care system. Rapidly increasing expenditures for laboratory services, fraudulent practices and reports of laboratory error are precipitating legislative and regulatory actions that will affect clinical laboratories and how they are used by physicians in caring for their patients. Many problems related to clinical laboratories are due to the rapid introduction of new technologies, to methods of educating medical students and house officers, to the rapidly expanding scientific base of medicine and to economic factors that have subordinated medical and scientific objectives in the laboratory to economic ones. Implementation of existing legislation would settle many of the economic issues, but more effective integration of the clinical laboratory into the patient-care process and better methods for educating medical students in the use of laboratory information are critical tasks for the medical profession.
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Takemura, Y, Beck, J R
(2001). Laboratory testing under managed care dominance in the USA. J. Clin. Pathol.
54: 89-95
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Siegel, D. L., Edelstein, P. H., Nachamkin, I.
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263: 979-982
[Abstract]
Spiegel, J. S., Shapiro, M. F., Berman, B., Greenfield, S.
(1989). Changing Physician Test Ordering in a University Hospital: An Intervention of Physician Participation, Explicit Criteria, and Feedback. Arch Intern Med
149: 549-553
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Conn, R. B., Aller, R. D., Lundberg, G. D.
(1985). Identifying Costs of Medical Care: An Essential Step in Allocating Resources. JAMA
253: 1586-1589
[Abstract]
Winkelman, J. W., Hill, R. B.
(1984). Clinical Laboratory Responses to Reduced Funding. JAMA
252: 2435-2440
[Abstract]
Lundberg, G. D.
(1983). Costs, Charges, Conscience, and Control (Lost). JAMA
250: 2509-2509
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Wong, E. T., McCarron, M. M., Shaw, S. T. Jr
(1983). Ordering of Laboratory Tests in a Teaching Hospital: Can It Be Improved?. JAMA
249: 3076-3080
[Abstract]
Everett, G. D., deBlois, C. S., Chang, P.-F.
(1983). Effect of Cost Education, Cost Audits, and Faculty Chart Review on the Use of Laboratory Services. Arch Intern Med
143: 942-944
[Abstract]
Pinckney, E. R.
(1983). The Accuracy and Significance of Medical Testing. Arch Intern Med
143: 512-514
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Markel, S. F., Rycus, M. J.
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243: 2053-2055
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Marton, K. I., Sox, H. C. Jr, Wasson, J., Duisenberg, C. E.
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140: 191-195
[Abstract]
SONNENWIRTH, A. C.
(1978). Constraints Under Which the Microbiology Laboratory Functions. ANN INTERN MED
89: 785-788
[Abstract]
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