CURRENT STATE OF CLINICAL LABORATORY DIAGNOSTICS (LITERATURE REVIEW) 

Zolotarev Pavel Nikolaevich, Candidate of medical sciences, associate professor, medical vice-rector, Medical institute “Reabilitation, Doctor and Health” (227 Chapaevskaya street, Samara, Russia), E-mail: zolotareff@list.ru
Cherkasov Sergey Nikolaevich, Doctor of medical sciences, department head, National Research Institute of Public Health named after N. A. Semashko (building 1, 12 Voromtsovo pole street, Moscow, Russia), E-mail: cherkasovsn@mail.ru 

614.2 

10.21685/2072-3032-2018-4-18 

In this article, we discuss the status of clinical laboratory diagnostics and laboratory services in Russia and its regions. We explored different ways of centralizing regional laboratory services and described examples of successful centralization as well as associated problems. We reviewed various options for assessing the effectiveness of laboratory services, including those proposed by the World Health Organization and used in different countries. We found that none of the proposed models can be implemented in Russia without adapting themin accordance with medical needs as well as specific economic and geographic characteristics of the country.
We studied both international and local standards used in the laboratory quality management. These standards allow developing and implementing quality indicators, which are individual for each laboratory. The issues of staffing in medical laboratories are also discussed. We demonstrated that the implementation of the professional standards for laboratory specialists would improve staffing in medical laboratories and increase professional activity of laboratory staff in terms of consulting the consumers of diagnostic services.
We analyzed medical, economical, and informational aspects of laboratory diagnostics. The following issues were found to be problematic: pricing of laboratory services, organization of outsourcing in laboratory medicine, tariffication, expediency of laboratory testing, and minimization of errors. We believe that the informatization of clinical laboratory diagnostics should be considered as a priority, because it ensures that laboratory medicine meets the latest healthcare requirements. 

laboratory service, centralization, efficiency, quality management system, informatization 

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