A laboratory director needs to decide what tests to offer and when to make them available. Some tests need to be done in-house while others may be better to send out to a reference laboratory.
Questions that need to be answere:
(1) to bring a test in-house or not
(2) to restrict availability (batch, etc) or not
(3) to have the test available STAT
Parameters:
(1) frequency requested
(2) profit or loss to perform
(3) difficulty to set-up
(4) complexity to perform
(5) medical need
(6) ability to wait for result
(7) reliability
economic product =
= (frequency factor) * (profit or loss factor)
Parameter
Desirable to Perform
Undesirable to Perform
economics
makes money
loses money
difficulty
easy
very difficult
medical need
high
low
able to wait for a result
unable
able
reliability
high
low
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