Cost Containment in Infection Control: Is Cost Effective Ordering of Microbiology Tests for Infection Control Possible?
Cost Containment in Infection Control: Is Cost Effective Ordering of Microbiology Tests for Infection Control Possible?
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感染控制中的成本控制：是否可以以具有成本效益的方式订购用于感染控制的微生物检测？
DOI：
10.1017/s0195941700063530
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发表时间：
1985
期刊：
影响因子：
--
通讯作者：
H. Isenberg
中科院分区：
文献类型：
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作者：
H. Isenberg
预期付款热是一种无处不在的痛苦，不会放过医疗保健领域的任何部分。这些规定的隐含的刚性可能不会支持感染控制努力从长远来看具有成本效益的论点。它将迫使所有在这一领域工作的人在使用制度资源时进行明智的克制。微生物学分析为感染控制工作提供了最真实的信息。然而，医学和护理学校的应届毕业生是他们课程中不再强调面包和黄油微生物学的受害者。他们没有能力只要求临床相关的检查，也不了解微生物结果对病人和医院或整个社区健康的影响。因此，具有成本效益的微生物和相关患者检查安排必须建立在教育努力的基础上，向负责人员灌输根据临床判断和实验室指示提出要求的适当性。drg引起的患者护理基本理念的变化要求微生物学家必须参与他们产生的信息的临床使用，即实验室数据与患者护理的相关性。这种相互作用肯定对实验室科学家有益，因为他或她现在可以坚持让重要的患者信息随每个样本一起出现。
Prospective payment fever is an all pervasive affliction that will spare no segment of the health care field. The implied rigidity of these regulations will probably not accommodate arguments that infection control efforts are cost-effective in the long run. It shall force all who labor in this field to exercise judicious restraint in the use of institutional resources. Microbiological analyses provide the most factual information lor infection control efforts. However, recent graduates of medical and nursing schools are the victims of the de-emphasis of bread-and-butter microbiology in their curricula. They lack the ability to request only clinically relevant examinations and do not appreciate the implications of microbiological results with respect to the patient and the health of the hospital or the community at large. Cost-effective ordering of microbiological and related patient examinations must, therefore, be based on an educational effort that indoctrinates responsible personnel in the appropriateness of requests based on clinical judgment and laboratory instructions. The DRG-induced change in the basic philosophy of patient care demands that microbiologists must become involved in the clinical use of the information they generate, ie, in the relevance of laboratory data to the care of patients. This interaction must benefit the laboratory scientist, for he or she can now insist that important patient information accompany each specimen.