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KMID : 0829320130160020061
Korean Journal of Clinical Microbiology
2013 Volume.16 No. 2 p.61 ~ p.68
A Proposal for Laboratory Workflow Changes forEfficient Tuberculosis Control
Kim Chang-Ki

Sung Heung-Sup
Park Yeon-Joon
Chang Chul-Hun L.
Abstract
There are several problems in mycobacterial detection and drug susceptibility testing. One problemis that some test results are unnecessarily delayed because the tests are postponed until patients revisit clinics and pay the cost of the tests. Another problemis that critical and important tests are not requested because patients do not agree with their necessity. These inefficient practices may be due tothe fee-for-service policy that the Korean medical insurance system is adopting and because many test methods used for mycobacterial infection have each test codes. Therefore, we propose a new test code encompassing several test items necessary for laboratory diagnosis of mycobacterial infection. This newcode enables all necessary tests to be performed sequentially without delay and also prevents performance of unnecessary tests. These changes will help control tuberculosis without any further medical insurance financial input.
KEYWORD
Laboratory diagnosis of tuberculosis, Laboratory workflow, Tuberculosis control
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