title: [Optimization of healthcare expenditures, centralization of laboratory determinations and laboratory information accessibility].
abstract: The optimization of money expenditure for healthcare is leading to the reorganization of the structure of medical organizations, to reducing of small establishments, to centralization of laboratory analyses with cessation of their performing in some hospitals and out patient offices. This tendency is based on medical (enlargement of laboratory tests spectrum) and economical (high productivity, relative reducing of net cost of laboratory determinations) reasons. But the repercussions of switch-over to centralization of laboratory analyses performance must be evaluated from the position of laboratory information accessibility tacking in account the need in express analyses for patient, situated on territories outlying from the centralized laboratory. Using of the portative analytical devices and therefore the possibility to perform the urgent analyses by non-laboratory personal in point of care and by patients themselves as a matter of self-testing can help to solve the problem of accessibility of laboratory tests in conditions of laboratory centralization in some regions.
authors: V V
authors: VV
authors: Men'shikov
mesh_terms: D022126:Access to Information; D019411:Clinical Laboratory Techniques / Q000191:economics* / Q000592:standards; D003695:Delivery of Health Care / Q000191:economics* / Q000458:organization & administration* / Q000592:standards; D063005:Health Information Systems / Q000191:economics* / Q000458:organization & administration* / Q000592:standards; D006801:Humans; D012426:Russia