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Korita, Irena; Blaton, Victor
Journal of Medical Biochemistry, 10/2011, Volume: 30, Issue: 4Journal Article
Medical laboratories play a vital role in modern healthcare, and qualified specialists in Clinical Chemistry and Laboratory Medicine are essential for the provision of high-quality preanalytical, analytical and consultative services. Laboratory medicine has undergone major transformations during the last decade. Ongoing technological developments have considerably improved the productivity of clinical laboratories. Information on laboratory services is globally available, and clinical laboratories worldwide face international competition and there is a huge pressure to reduce costs. To be prepared for the future, clinical laboratories should enhance efficiency and reduce the cost increases by forming alliances and networks, consolidating, integrating or outsourcing, and more importantly create additional value by providing knowledge services related to in vitro diagnostics. Therefore, business models that increase efficiency such as horizontal and vertical integration are proposed, based on collaborative networks for the delivery of clinical laboratory services. Laboratories should cooperate, consolidate and form strategic alliances to enhance efficiency and reduce costs. There is a growing conflict between the science and the art of clinical practice and on the role of the biomedical sciences in medical practice. We have a dehumanizing effect on medical care. Disease is defined at the level of sick molecules and cells and curative medicine is being replaced by the preventive care of the disease. Undoubtedly all those questions will raise considerable problems and challenges for the medical educators. Medicinske laboratorije imaju veoma važnu ulogu u modernom zdravstvu, a pružanje visokokvalitetnih preanalitičkih, analitičkih i konsultantskih usluga zahteva kvalifikovane specijaliste kliničke hemije i laboratorijske medicine. Tokom poslednje decenije laboratorijska medicina pretrpela je važne transformacije. Produktivnost kliničkih laboratorija značajno je povećana zahvaljujući tekućem tehnološkom razvoju. Informacije o laboratorijskim uslugama su globalno dostupne i kliničke laboratorije se svuda suočavaju sa međunarodnom konkurencijom, pri čemu postoji ogroman pritisak da se snize troškovi. Kako bi spremno dočekale budućnost, kliničke laboratorije bi trebalo da poboljšaju efikasnost i snize rast troškova putem stvaranja saveza i mreža, konsolidacije, integracije ili angažovanja spoljnih saradnika i, što je još važnije, obezbede dodatne prihode pružanjem stručnih usluga vezanih za in vitro dijagnostiku. Otud se predlažu poslovni modeli koji poboljšavaju efikasnost, kao što je horizontalna i vertikalna integracija, zasnovani na kolaborativnim mrežama za pružanje usluga kliničkih laboratorija. Laboratorije treba da sarađuju, da se udružuju i formiraju strateške saveze kako bi popravile efikasnost i snizile troškove. Sve je veći konflikt između nauke i veštine kliničke prakse i kad je u pitanju uloga biomedicinskih nauka u medicinskoj praksi. Mi imamo dehumanizirajući uticaj na medicinsku negu. Bolest se danas definiše na nivou bolesnih molekula i ćelija. Kurativnu medicinu postepeno zamenjuje preventivna nega bolesti. Sva ta pitanja nesumnjivo doneti brojne probleme i izazove za edukatore u medicini.
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