title: [Cooperations between biology laboratories of the establishments of healthcare].
abstract: In France, the cooperations between biological laboratories of the healthcare establishments increased after those realized in the private laboratories. The biologists are confronted with various hypotheses of organization. They are often complex because they may preserve the quality of the care and their continuity while realizing financial economies. These economies are mostly based on the global reduction in the staff and in the equipments by mutualising the biological tests with varying degrees. We describe the various elements to be taken into account (staff, activities, budget, quality, transport, materials) and propose many scenarios of cooperations, from a unique central shape to the transfer of very specialized tests, with their advantages and their inconveniences. The management of human aspects in these cooperations is determining to facilitate their success as well as a reliable preliminary inventory of fixtures.
authors.affiliation: Fédération de biologie médicale, Hôpital d'instruction des armées Bégin, Saint Mandé, France. pascal.burnat@santarm.fr
authors.forename: Pascal
authors.initials: P
authors.lastname: Burnat
authors.forename: Catherine
authors.initials: C
authors.lastname: Payen
authors.forename: Audrey
authors.initials: A
authors.lastname: Mérens
authors.forename: Franck
authors.initials: F
authors.lastname: Ceppa
authors.forename: Christophe
authors.initials: C
authors.lastname: Renard
mesh_terms: D001671:Biochemistry; D002017:Budgets; D019411:Clinical Laboratory Techniques / Q000191:economics / Q000295:instrumentation; D003142:Communication; D003299:Cooperative Behavior; D003422:Critical Care / Q000191:economics / Q000458:organization & administration; D005376:Financial Management / Q000191:economics / Q000458:organization & administration; D005821:Genetic Techniques; D058016:Health Facility Administration / Q000191:economics; D006403:Hematologic Tests; D006801:Humans; D007159:Immunologic Tests; D007400:Interprofessional Relations; D007753:Laboratories / Q000191:economics / Q000458:organization & administration* / Q000592:standards; D059232:Laboratory Personnel / Q000191:economics / Q000458:organization & administration; D008490:Medical Informatics; D008828:Microbiological Techniques; D020415:Personnel Downsizing / Q000191:economics; D011787:Quality of Health Care / Q000191:economics / Q000458:organization & administration; D018456:Reproductive Medicine; D013048:Specimen Handling / Q000379:methods / Q000592:standards; D013997:Time Factors
keywords: cooperation; grouping of sanitary cooperation; healthcare establishments; laboratory; medical biology; mutualisation