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  1. Log-in/log-out time : A quality factor for a reference laboratory : Prolonged times for skin pathology processing in managed care-authorized laboratories.

    Article - En anglais

    Managed care organizations may divert skin biopsy specimens to commercial laboratories selected on a cost basis.

    Diversion to these laboratories could result in service of decreased quality for the patient and referring physician.

    Log-in/log-out dates were collected for all specimens submitted to managed care-authorized laboratories either from a university-based clinic or from a private practitioner's office for a period of 18 months and compared with data obtained from a local dermatopathology laboratory.

    A subgroup of specimens containing inflammatory diagnoses or nondiagnostic changes was also examined.

    Mean log-in/log-out times were 1.338 days in the dermatopathology laboratory, 6.123 days in managed care-authorized laboratories from the university site, and 7.798 days in managed care-authorized laboratories from a practitioner's office.

    The differences between the dermatopathology laboratory log-in/log-out times and thosc of the managed care-authorized laboratories were statistically significant (p<0.0001).

    The conclusion from this study is that a quality indicator defined as time from log in to log out revealed a significant increase in interpretation time at managed care-designated laboratories.

    Although managed care plans can decrease their financial risk by contracting with national laboratories to provide all services for a set fee, a decreased quality of service can be demonstrated.

    Mots-clés Pascal : Examen laboratoire, Critère qualité, Indicateur, Interprétation, Biopsie, Peau, Délai, Traitement, Etude comparative, Secteur privé, Secteur public, Etats Unis, Amérique du Nord, Amérique, Organisation santé

    Mots-clés Pascal anglais : Laboratory investigations, Quality criterion, Indicator, Interpretation, Biopsy, Skin, Time lag, Treatment, Comparative study, Private sector, Public sector, United States, North America, America, Public health organization

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0361168

    Code Inist : 002B24O01. Création : 12/09/1997.