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首页> 外文期刊>Transactions of the Royal Society of Tropical Medicine and Hygiene >The operation, quality and costs of a district hospital laboratory service in Malawi.
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The operation, quality and costs of a district hospital laboratory service in Malawi.

机译：马拉维地区医院实验室服务的运营，质量和成本。

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Laboratory services are run down in many low-income countries, severely constraining their input to patient care and disease surveillance. There are few data about the quality and cost of individual components of the laboratory service in poorer countries, yet this information is essential if optimal use is to be made of scarce resources. Staff time, range of tests, workload, and safety procedures were monitored over 12 months (1997-98) in a typical district hospital laboratory in Malawi. Data were collected to calculate the total economic cost of these services. Of the 31203 tests performed, 84% were to support blood transfusion and diagnosis of malaria and tuberculosis (TB). Test quality was reasonable for malaria and TB microscopy and blood transfusion, but poor for haemoglobin estimation. The cost per test ranged from US dollars 0.35 for haemoglobin to US dollars 11.7 per unit of blood issued and the total annual cost of the laboratory service was US dollars 32618. Blood transfusion and microscopy for malaria and TB comprised the majority of tests. Ensuring that these tests are of the highest quality will therefore have the most impact in reducing wastage of laboratory resources. Inadequate quality of haemoglobin estimations is a particular problem. The findings of this study are likely to be relevant to other low-income countries with similar disease burdens.
机译：许多低收入国家的实验室服务都在减少，从而严重限制了其对患者护理和疾病监测的投入。在贫穷国家中，关于实验室服务各个组成部分的质量和成本的数据很少，但是如果要充分利用稀缺资源，则此信息至关重要。在马拉维一个典型的地区医院实验室中，对员工时间，测试范围，工作量和安全程序进行了为期12个月（1997-98年）的监控。收集数据以计算这些服务的总经济成本。在进行的31203次测试中，有84％用于支持输血以及对疟疾和结核病（TB）的诊断。测试质量对于疟疾和结核病显微镜检查以及输血而言是合理的，但对于血红蛋白的估计却很差。每次测试的费用从血红蛋白的0.35美元到每单位血液的11.7美元不等，实验室服务的年度总费用为32618美元。疟疾和结核病的输血和显微镜检查占了大多数。因此，确保这些测试的质量最高，将对减少实验室资源的浪费产生最大的影响。血红蛋白估计的质量不足是一个特殊的问题。这项研究的结果可能与疾病负担相似的其他低收入国家有关。

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