The Use of Expert Systems and Information and Communicaton Tchnologies (ICT) in Laboratory Practice–an Economical Aspects

Abstract

Background: Biochemistry is the science of the chemical composition of living things and of chemical changes in living things. Biochemical–laboratory diagnostics occupy a prominent place in medicine. Today's knowledge in the field of laboratory diagnostics enables reliable diagnostic verification of the physiological and pathological condition of the subject and monitoring of the patient's therapy. Objective: The aim of this article is to look at the economic and communication aspect of laboratory diagnostics in family medicine and present some statistically relevant data related to the already mentioned topic. Methods: Author used a few important sost analysis to assess every diagnostic and therapeutic procedure which should be analyzed from the aspect of its profitability, i.e. To determine their effectiveness and safety of application as stated in the Accreditation Standards for Health Centers. Results: A total of 5333 laboratory tests are represented in 1000 requests. The percentage representation of the most frequent individual laboratory tests in the requests of all teams of doctors involved in the health care system was in order; GUK (14%), BS (14%), urine (13.9%), SE (10.3%), total cholesterol (8.5%), triglycerides (8.4%), aminotransferases (6.7 %), creatinine (6.7%), urea (4.8%), bilirubin (0.9%), fibrinogen (0.9%), CRP (0.8%), AF (0.8%), HDL cholesterol (0.7%), calcium in serum (0.6%), phosphorus in serum (0.5%), acidum uricum (0.5%). Of the general practitioners, the largest number of patients referred to the biochemical and hematology laboratory were diagnosed with diabetes, followed by diseases of the urinary system and hypertension. The same is the case with family medicine doctors, while from specialist doctors, the largest number of patients are sent to the biochemical and hematology laboratory with diseases of the urinary tract, followed by diseases of the respiratory tract, endocrinological system and anemia. Conclusion: An economic analysis of the number of required laboratory tests by disease indicates a different number of points per required test and by disease. The highest costs are related to diabetes, followed by the costs of respiratory diseases, urinary diseases and finally hypertension.