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Measuring the Impact of Change on Laboratory Testing

By Jon Counts Ph. D


Abstract: This presentation covered the issue of changing population characteristics as well as the changing nature of health problems. There was a discussion of the health delivery system, the advent of managed care and its impact upon the delivery of health services. The influence of managed care on the clinical laboratory industry and the public health laboratory was also addressed. The transition that the health care onset, all segments of populations were at industry underwent during the 1980's served equal risk, acute conditions were epitomized to modify dramatically the mind set of those by the "killer " epidemic). in health care, from one based on a This century we have witnessed the philanthropic orientation to a highly disappearance of acute illness as the competitive business orientation. Almost persuasive type of disorder and the overnight the industry has become market emergence of the chronic condition, various driven and consumer oriented. conditions that are more frequently linked to lifestyle, heredity, and even psychological Changing Population Characteristics For the first time in history, western state; major example include arthritis, cancer, rheumatism, hypertension, and diabetes. societies contain significant older Once chronic conditions become populations, with characteristics and health predominant, the composition of the attributes different from any other population becomes a powerful predictor of populations that have ever existed. At the both health status and health behavior. It is same time that life expectancy at birth was interesting to note that approximately 50% increasing, approximately 75.8 years (72.3 1 of all deaths that occurred in 1990 could be for males, 79.1 for females), the age attributed to several significant external and structure was also being transformed (today nongenetic factors (Chart 1). 11 % of the population is 65 years)

Year: 2011
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