Annals of Clinical Microbiology, The official Journal of the Korean Society of Clinical Microbiology

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pISSN 2288-0585 eISSN 2288-6850

A Proposal for Laboratory Workflow Changes for Efficient Tuberculosis Control

Review article

Annals of Clinical Microbiology (Ann Clin Microbiol) 2013 June, Volume 16, Issue 2, pages 61-68.

https://doi.org/10.5145/ACM.2013.16.2.61

A Proposal for Laboratory Workflow Changes for Efficient Tuberculosis Control

Chang-Ki Kim1, Heungsup Sung2, Yeon-Joon Park3, Chulhun L . Chang4
1Department of Laboratory Medicine, Korean Institute of Tuberculosis, Osong, Department of Laboratory Medicine, 2Asan Medical Center, University of Ulsan College of Medicine, Seoul, 3College of Medicine, The Catholic University of Korea, Seoul, 4Pusan National University School of Medicine, Yangsan, Korea

Abstract

There are several problems in mycobacterial detection and drug susceptibility testing. One problem is that some test results are unnecessarily delayed because the tests are postponed until patients revisit clinics and pay the cost of the tests. Another problem is that critical and important tests are not requested because patients do not agree with their necessity. These inefficient practices may be due to the 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 new code 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. (Ann Clin Microbiol 2013;16: 61-68)

Keywords

Laboratory diagnosis of tuberculosis, Laboratory workflow, Tuberculosis control