BIOMEDICAL LABORATORY AND HEALTH ECONOMICS ORGANIZATION
Learning outcomes of the course unit
Ability to identify the more relevant moments and procedures for the organization of the biomedical laboratory performing welfare activity since the acceptation of samples to the medical report.
Course contents summary
- General aspects of the organization of the biomedical laboratory of microbiology;
- The personnel of the biomedical laboratory of microbiology: typology, tasks, staff equipment, distribution, specialization;
- The product of the biomedical laboratory of microbiology: objectives, organization in sectors, sub-sectors and sections, nomenclator, evaluation of the numerousness and complexity of the examinations, phases of the production, workload;
- The spaces of the biomedical laboratory of microbiology: typology, routes, conditioning, crowding, luminosity, acoustic pollution, safety;
- Timetable of the activities of the biomedical laboratory of microbiology: activities timetable (full-time employ, part-time employ, guard and/or availability), extraordinary time, leave, permission;
- The costs of the activities of the biomedical laboratory of microbiology: fixed costs, variable costs, tariffs;
- The quality in the biomedical laboratory of microbiology: internal controls, external evaluation, evaluation of the performance, accreditation, certification;
- The request for the examinations to the biomedical laboratory of microbiology: evaluation of the completeness of the request, evaluation of the suitability of the sample, production of the medical report;
- Other organizational aspects of the biomedical laboratory of microbiology: automation, robotization, waste disposal, storage of the reagents and dangerous materials, storage of the samples; the updating and the continue training, the professional secret, errors and damages, responsibilities, internal and external relations.
Tasks and and role of the Laboratory of Emato-chemical analyses. Organization of the workspaces. Open laboratory and specialistic sectors laboratory. Routine laboratory, urgency-emergency laboratory and meaning of TAT. Professional profiles and responsibilities. Pre-analytical, analytical, post-analytical phases. The quality in Laboratory Medicine. Organization of the Universitary Ospital. Significance, limits and advantages of the acquisition of the analytical systems in service. The automation. The informatization. Organization of a hospital taking centre.
HEALTH CARE ECONOMICS
- General concepts of health and disease
- Primary, secondary and tertiary prevention
- Measures of accuracy of a screening test: sensitivity, specificity, predictive values
- Italian health organisation
- General concepts of health economics
- Health needs, supply and demand
- Concepts of effectiveness, efficacy, efficiency
- Economic appraisal in health care
Barbuti S, Bellelli E, Fara GM, Giammanco G, Igiene e medicina preventiva (4° ediz.) Monduzzi, Bologna, 2003.
Signorelli C, Igiene, epidemiologia e sanità pubblica (Secrets). SEU, Roma, 2005.