Rationalisation of the biochemistry laboratory : which way forwards?

Abstract

The eternal problem faced in service provision is that of coping with an ever-increasing work-load within the relative constraints of keeping costs down to a minimum. The reasons for the increase in the work-load are multiple and include the need to expand the repertoire of tests available if so justified. The justification in medical practice is not only limited to evidence-based proof of the use of medicinals, but is also extendable to the usage of laboratory tests. Regrettably, laboratory usage still appears to be rooted in the mentality that if the test is available, then its request may just be justified in the case that it throws up an abnormal result. This article aims to look at some commonly requested and possibly overrequested tests as well as discusses the value of emerging tests that may well help the rationalisation of other over-stretched medical services.