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At least 19 recordsLinked to original sources
PubMedDate not supplied

[Marketing study of the market of diagnostic services].

Modern status of laboratory diagnostic service at the state and municipal medical institutions of regional public health is assessed as exemplified by the Archangelsk district. Qualitative parameters of the resource provision and variations thereof at institutions of different type, potential, and localization are analyzed. Availability of diagnostic service for the urban and rural population is assessed. Basic approaches to public health reforms in a region are formulated as the priority condition of improving the diagnostic service, rational utilization of resources, and available and proper medical care of the population.

Diagnostic Services↗
PubMed1977

A haematuria diagnostic service.

In a haematuria diagnostic service, covering experience with 95 patients, 12 new cases of cancer of the bladder, one of cancer of the kidney, and one of cancer of the penis were identified--all at an early stage. Patients presenting with haematuria were investigated rapidly without disruption of the routine work of the urological unit. Patients who identified the symptoms and sought advice early were given a definite diagnosis quickly, and treatment for any malignant disease was started early. The delay that undoubtedly endangers patients' lives has been considerably reduced by this service.

Adolescent↗
PubMed2006

Government reform of the National Health Service: implications for radiologists and diagnostic services.

Demand for radiology services within the National Health Service (NHS) continues unabated and current NHS operations cannot keep up with demand. Therefore, to meet this demand, the government has decided to outsource a significant number of investigations to the independent sector and will actively promote patient referrals to the new government sponsored Treatment Centres as they become available. This presents opportunities to patients, but threatens existing public sector providers (including doctors) as competition for radiology services may result in both loss of patient referrals and revenue to these providers. This article is a personal opinion and will focus on the current challenges facing the provision of radiology services in the NHS. I will suggest the possible negative outcomes for providers (NHS hospitals and staff alike) and will offer strategies, tactics and tools that can be employed to counter the threat to their existing services.

Diagnostic Services↗
PubMed1992

Survey of tissue diagnostic services in U.S. dental schools - 1990.

Tissue diagnostic services in U.S. dental schools were surveyed to determine activities during 1990. Results were compared with those of similar surveys conducted in 1953, 1958, 1969, 1975, 1980, and 1985. The information gathered from this survey reveals a progressive growth and development of tissue diagnostic services. This is seen not only in the increased numbers of biopsy accessions, which increased by 37% since the last survey, but is also reflected in the diversity of services now offered by oral pathologists.

Biopsy↗
PubMed2006

Data mining approach to model the diagnostic service management.

Korea has National Health Insurance Program operated by the government-owned National Health Insurance Corporation, and diagnostic services are provided every two year for the insured and their family members. Developing a customer relationship management (CRM) system using data mining technology would be useful to improve the performance of diagnostic service programs. Under these circumstances, this study developed a model for diagnostic service management taking into account the characteristics of subjects using a data mining approach. This study could be further used to develop an automated CRM system contributing to the increase in the rate of receiving diagnostic services.

Databases, Factual↗
PubMed1981

Diagnostic services utilization review at a university medical center.

The rational provision of diagnostic services is important in maintaining health care quality and controlling costs. Establishing a successful diagnostic services utilization review committee requires substantial commitment from the hospital and the medical staff.

Diagnostic Services↗
PubMed2005

National survey of diagnostic services for genital herpes.

OBJECTIVE: To investigate the provision of diagnostic services for genital herpes simplex virus (HSV) infection in the United Kingdom. METHODS: National survey of laboratories providing diagnostic services for genital herpes. RESULTS: Completed questionnaires were returned from 25/32 (78%) laboratories participating in the Clinical Virology Network, including seven in London, 12 in the rest of England, one in Wales, four in Scotland, and one in Northern Ireland. Virus culture was the diagnostic method of choice in 20/25 (80%) laboratories; 5/25 (20%) routinely used HSV DNA detection by polymerase chain reaction (PCR). HSV PCR for DNA detection in cerebrospinal fluid (CSF) was available in 17/25 (68%) laboratories. Typing of isolates (HSV-1 or HSV-2) was performed routinely in 22/25 (88%) laboratories. Only 2/25 (8%) laboratories offered HSV type specific serology, although an additional 12/25 (48%) referred requests elsewhere. Consistent with this finding, the number of HSV type specific antibody tests referred to the Health Protection Agency increased by nearly fivefold between 1997 and 2003. CONCLUSIONS: Virus culture remains the preferred diagnostic method for genital herpes, despite evidence indicating that its sensitivity is suboptimal compared to PCR. As HSV PCR is widely available for testing of CSF, it is recommended that clinicians and virologists discuss ways to implement PCR testing of genital swabs, thus enabling greater diagnostic accuracy. A call is made for studies to assess the use of HSV type specific serology in genitourinary medicine (GUM) settings, now that rapid and validated assays have become available and guidelines have been issues to provide recommendations on their use.

Diagnostic Services↗
PubMed1998

Day case hematuria diagnostic service: use of ultrasonography and flexible cystoscopy.

OBJECTIVES: To assess the efficacy of a day case diagnostic service employing ultrasonography and flexible cystoscopy in the evaluation of patients presenting with painless gross hematuria. METHODS: From July 1994 to June 1997 a prospective study was conducted for 312 consecutive patients presenting with painless gross hematuria. They were evaluated in a day case diagnostic service setting, where ultrasonography and flexible cystoscopy were performed together with other laboratory investigations. Intravenous urography was subsequently performed for possible additional diagnostic information. RESULTS: Eighty-one urinary malignancies were detected in 78 patients; 51 were carcinoma of the bladder, and the next most common was renal cell carcinoma (n = 15). Definitive diagnoses were made in 68 patients and an abnormality was noted in 9 other patients after the day case workup. The day case diagnostic workup has led to highly selective use of computed tomography scans with high diagnostic yield; intravenous urography only added important diagnostic information, not available from the earlier workup, in 9 patients. CONCLUSIONS: Day case diagnostic service is a feasible arrangement. By combining ultrasonography and flexible cystoscopy, most carcinomas were diagnosed and abnormalities detected. Such a service enhances rapid completion of diagnostic workup, and operations for surgical conditions can be scheduled more promptly.

Adolescent↗
PubMed1988

Molecular genetics in clinical practice: evolution of a DNA diagnostic service.

The development of a molecular genetics diagnostic service over a three year period was studied in a National Health Service region with a population of three million. Starting from a time when few diagnostic applications were possible, the number of disorders and the overall demand had grown rapidly. Conditions for which molecular genetic diagnosis had been provided included Duchenne and Becker muscular dystrophy, myotonic dystrophy, Huntington's disease, and cystic fibrosis. Of 405 requests for diagnosis, 151 (37%) related to determination of carrier state, 187 (46%) to determining the feasibility of future prenatal diagnosis, and 67 (17%) were prenatal diagnostic biopsy samples, almost exclusively of first trimester chorion. DNA samples for future diagnostic use with a wide range of genetic disorders had also been banked. The study showed a need for close integration with clinical genetics services to allow satisfactory genetic counselling and interpretation of risks.

Cystic Fibrosis↗
PubMedDate not supplied

[Integrated data processing systems for a functional diagnostic service].

The paper discusses the problem of automation of the functional diagnostic service system on the basis of up-to-date informational technologies, gives recommendations on the minimum list of diagnostic procedures used for various service levels in medical institutions, outlines requirements for hard- and softwares needed for designing this system of integrated processing, provides specific recommendations on the structure of automatic complexes for the first two levels of functional diagnostic service.

Diagnosis, Computer-Assisted↗
PubMedDate not supplied

Willingness to pay for diagnostic services. A new approach to modelling patient benefits in health care.

The paper investigates the benefit the patient derives from medical diagnosis. By considering explicitly the prospects with respect to both health and monetary consequences resulting from a decision taken by the physician, a fairly general approach to discuss diagnostic services is developed. The willingness to pay of the patient is taken to be measured by his compensating option price, evaluated with respect to the reference state without further diagnostic information. Of particular interest are conditions governing positivity of the patient benefit. Imposing additional restrictions upon individual preferences considerably simplifies the analysis by relying on a loss function. The final section discusses the role of the patient benefit as regards cost-benefit analysis of diagnostic services. If health insurance is available providing at least partial coverage, a positive willingness to pay of the patient net of diagnostic cost can be shown to give no clue as to whether utilization of a diagnostic service is beneficial to society in the sense of cost-benefit analysis.

Attitude to Health↗
PubMed2006

[Availability of molecular genetic diagnostic services in the Czech Republic. Is it too little, too much or sufficient?].

Review of diagnostic services offered by molecular genetic laboratories classified according the number of laboratories dealing with individual diagnoses is presented. Three different categories were distinguished: frequently, medium and rarely offered diagnostic service. Services that concerned trombophilic factors F2 a F5 and methylentetrahydrofolatreductase, cystic fibrosis, paternity testing, gender determination, molecular testing for hemochromatose--HFE, detection of BCR/ABL fused gene, and Y-chromosomal loci DAZ and AYF examination were most frequently offered.

Czech Republic↗
PubMed1988

Survey of tissue-diagnostic services in United States dental schools--1985.

Tissue-diagnostic services in United States dental schools were surveyed to determine activities during 1985. Results were compared with those of similar surveys conducted in 1953, 1958, 1969, 1975, and 1980. A continuing increase in the number of specimens processed has occurred, and there has been a parallel increase in the number of malignant specimens noted. The percentage of malignant specimens in relation to total specimens processed has not changed significantly.

Biopsy↗
PubMed1994

Same day diagnostic service for new cases of haematuria--a district general hospital experience.

OBJECTIVE: To describe the running of a special haematuria diagnostic service which catered for a flexible cystoscopy on the same day as the first clinical visit. The impact of this service especially with regard to the timing of the intravenous urogram (IVU) is discussed. The service was designed to facilitate early diagnosis, particularly of bladder tumours, in new cases of haematuria. Potentially this would allow a more effective planning of operating lists and implementation of early definitive treatment. PATIENTS AND METHODS: Within the setting of a District General Hospital, new cases of haematuria were studied (42 male, 29 female, mean age 60 +/- 13 years). Fifty-one had a pre-clinic IVU whereas 20 had this deferred until after their first visit. All patients underwent a flexible cystoscopy under local anaesthesia on their first visit. New cases of bladder cancer were placed on the next available list for definitive treatment whilst patients with normal cystoscopy were referred back to the clinic for further investigations. RESULTS: Altering the timing of the IVU helped in reducing hospital delay from 33 +/- 19 days (range 9-92 days) to 22 +/- 9 days (range 8-52 days; P < 0.04); the number of diagnostic cystoscopies performed within 4 weeks increased from 65% to 95%. CONCLUSION: The same day diagnostic service has not been difficult to administer. Patient acceptability was excellent and design objectives were achieved.

Adult↗
PubMed1984

A haematuria diagnostic service in a district general hospital.

Four years experience of a haematuria diagnostic service in a District General Hospital, comprising 215 patients, has identified 42 new cases of bladder cancer, 5 of renal cell cancer and 3 of renal pelvis cancer. Urine and blood tests were non-contributory in their diagnosis but intravenous urography was diagnostic in the majority. The period of time between presentation to the general practitioner and treatment of the cancer has been reduced to less than the time normally spent on the Out-Patient waiting list.

Adolescent↗
PubMed1982

Survey of tissue-diagnostic services in United States dental schools, 1953-1980.

A survey of tissue-diagnostic services in United States dental schools was conducted, covering the services' activities during 1980. This survey was compared to similar surveys done in 1953, 1958, 1969, and 1975. A significant increase in the number of specimens processed has occurred, and there has been a parallel increase in the number of malignant specimens. The percentage of malignancies in relation to total specimens remains stable at 2.0 percent. As could be expected, higher fees are being charged by the schools for processing specimens.

Biopsy↗