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首页> 外文期刊>The journal of applied laboratory medicine. >Availability and Prices of WHO Essential Diagnostics in Laboratories in West Africa: A Landscape Survey of Diagnostic Testing in Northern Ghana
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Availability and Prices of WHO Essential Diagnostics in Laboratories in West Africa: A Landscape Survey of Diagnostic Testing in Northern Ghana

机译：可用性和价格的重要在西非的实验室诊断:景观的调查诊断测试加纳北部

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Background: We determined the availability and pricing of laboratory testing in the Northern Region of Ghana to identify current gaps with respect to the WHO's Essential Diagnostics List (EDL). Methods: A representative sample of facilities offering diagnostic testing within the Northern Region was geographically mapped and evaluated, with random sampling stratified by population density. Data were collected on testing menus, volumes, turn-around times, and out-of-pocket test prices. A total of 27 health centers and 39 clinical laboratories were surveyed between June and August 2019. Results: Health centers offered a median of 2 of 20 tests recommended by the WHO for facilities without laboratories. The most common tests offered included point-of-care tests for malaria, HIV, and pregnancy. Clinical laboratories offered a median of 11 of 72 tests on the EDL. These facilities most commonly provided testing for malaria, HIV, pregnancy, HBsAg, urinalysis, HCV Ab, syphilis, glucose, and CBC. Urban laboratories had a total of 36 EDL tests available while rural laboratories had 12. Test prices were higher in private compared to public laboratories. National Health Insurance reimbursements were lower than out-of-pocket prices (38%), and when controlling for test price, test availability was negatively associated with this gap in reimbursement. Conclusions: Availability of diagnostic testing in Ghana's Northern Region is severely limited compared to the WHO's EDL. The disparity is pronounced in rural facilities. Reimbursement rates should be reset to more closely match out-of-pocket test prices in order to achieve the Universal Health Coverage target of the Sustainable Development Goals.
机译：背景:我们的可用性和决定定价的实验室测试在北方加纳地区来确定当前的缺口尊重人的基本诊断方法列表(EDL)。设施内提供诊断检测北部地区是地理位置和映射评估,采用分层随机抽样人口密度。测试菜单、卷回车场次,实际测试的价格。中心和39临床实验室调查在2019年6月和8月之间。健康中心提供20个测试的中位数为2推荐的设备没有实验室。包括现场即时检测疟疾、艾滋病毒、和怀孕。中位数72年11测试反伊斯兰教英国防御联盟。设施最常见的测试疟疾、艾滋病毒、怀孕、HBsAg,验尿,丙肝病毒Ab、梅毒、葡萄糖和CBC。实验室有36 EDL测试而农村实验室有12个可用。在私人与公共价格更高实验室。补偿低于自掏腰包价格(38%),当控制测试价格、可用性测试是消极的这种差距在报销。结论:可用性的诊断测试在加纳北部地区是极其有限的而世界卫生组织的联盟。明显在农村设施。利率应该重置更紧密地匹配为了实现的测试价格全民健康覆盖的目标可持续发展的目标。

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