An Assessment of Acceptance of Results as Generated by Clinical Laboratories in Mandeville Jamaica: A Perspective of Physicians Operating in Mandeville

F. Pitkin
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Abstract

Physicians have received test results from laboratories which they deemed questionable and believe accepting such results could pose variable risk to the care of patients. The purpose of this study is to evaluate the physicians’ acceptance and confidence in results generated by the laboratories in Mandeville and to identify the factors contributing to or associated with the determined level of acceptance and confidence. The study used a population survey to collect data from twenty –six (26) participants from the public and private medical practices around the town of Mandeville. The correlation between the number of repeated tests (dependent variable) and the level of acceptance of patient result was evaluated, r=1, p<0.001. Approximately 100% of the participants scored their level of acceptance of patient results between 7 and 9 out of 10 with a mean score of 8.5 and median score 9. There was a strong correlation (r= 1, p<0.001) between years of experience and the frequency with which tests were repeated. Laboratory accreditation and compliance with standards are two of the most important tools influencing accuracy of laboratory tests and ultimately test result. The quality of laboratory test result impact patient treatment and will determine physicians’ level of acceptance and confidence in the report generated.
对牙买加曼德维尔临床实验室产生的结果的接受度评估:曼德维尔医生的视角
医生们收到了他们认为有问题的实验室的检测结果,并认为接受这样的结果可能会给病人的护理带来各种风险。本研究的目的是评估医生对曼德维尔实验室产生的结果的接受程度和信心,并确定影响或与确定的接受程度和信心相关的因素。这项研究通过人口调查收集了来自曼德维尔镇周围公共和私人医疗机构的26名参与者的数据。评估重复检测次数(因变量)与患者结果接受程度的相关性,r=1, p<0.001。大约100%的参与者对患者结果的接受程度评分在7到9分之间,平均得分为8.5分,中位数得分为9分。经验年数与重复测试的频率之间存在很强的相关性(r= 1, p<0.001)。实验室认可和符合标准是影响实验室测试准确性和最终测试结果的两个最重要的工具。实验室检测结果的质量影响患者的治疗,并将决定医生对所生成报告的接受程度和信心。
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