title: Role of a central laboratory in implementing national cholesterol education panel guidelines in rural practices: model system for managed care.
abstract: We describe the use of a central laboratory to identify patients who may be candidates for a hypercholesterolemia treatment program and to direct their referral into this program. The laboratory, providing service for 16 medical practices in a rural area of upstate New York, served as the entry point to the treatment program for those patients with serum cholesterol > or = 5.18 mmol/L. This treatment program, designed to follow the National Cholesterol Education Program Adult Treatment Panel Guidelines, was provided by the lipid referral center staff, including a registered dietitian and a lipid specialist. After introduction of this program, 52% of eligible patients received nutritional counseling for hypercholesterolemia, compared with only 29% in usual care settings. This program represents an enhanced role for laboratories in the implementation of treatment protocols typical of those adopted by managed care networks.
authors.affiliation: Mary Imogene Bassett Hospital, Cooperstown, NY 13326-1394.
authors.forename: R G
authors.initials: RG
authors.lastname: Reed
authors.forename: S Y
authors.initials: SY
authors.lastname: Fong
authors.forename: T A
authors.initials: TA
authors.lastname: Pearson
mesh_terms: D003376:Counseling; D003695:Delivery of Health Care; D006266:Health Education; D006801:Humans; D006937:Hypercholesterolemia / Q000097:blood / Q000628:therapy*; D007753:Laboratories / Q000592:standards; D009518:New York; D052756:Nutritional Sciences / Q000193:education; D012423:Rural Health