Over the past ten years all over the world it has been a high development of laboratory diagnostics, due to general trends in the field of health care, the development of biotechnology, evidence-based medicine and scientific and technical progress. The nature, the place and a role of the provision of medical services and laboratory diagnosis to a population has been radically changed.
Laboratory diagnostics is one of the most important components of a health care system, which provides diagnostic assistance to patients in assessing health status, diagnosing diseases, monitoring treatment outcomes, further predicting the course of the disease and quality of life, which is of national importance in maintaining and improving public health, and also a decrease in morbidity and mortality.
The main task of laboratory diagnostics is to obtain objective data on the health status of an individual patient, a selected group, or the population of the whole region.
The quality of the results of laboratory studies and the effectiveness of their use to provide the patient with quality medical care most deeply reflects the essence and purpose of laboratory diagnostics and is increasingly viewed through the lens of evidence-based medicine. The main idea of evidence-based medicine is to use in practice only those methods of diagnosis and treatment whose effectiveness has been proven on the basis of strict scientific principles and clinical research.
Every year, in 7,531 medical laboratories in Ukraine, 760 million laboratory tests are performed. So, for example, in 2009 there were 16.4 studies per 1 inhabitant of the country, 94.6 per 100 visits at the polyclinic, and 1 per person who dropped out of the hospital – 34.9. Laboratory diagnostics of Torsh-Infections, viral hepatitis, Hiv-Infections, new diagnostic directions and laboratory technologies, such as molecular diagnostics, immunophenotyping have also been actively developed in the regions
But, despite the fairly large amount and range of laboratory studies, the demand for them from doctors and the population far exceeds the capabilities of state laboratories and forms a direct flow to private laboratories. At the same time, laboratory tests are moving away from the patient and the risk of receiving an error at the preanalytical stage increases.
Over the past decade, there has been a tendency in the state regarding the deterioration of the state of laboratory services, a decline in the quality of laboratory research and a restriction of access to them by the country’s population.
The issue of improving the quality of medical care and the quality of laboratory results is relevant not only for our country, but also in the world. Many countries have established national programs to ensure the quality of medical care. The main reasons that encourage the governments of developed countries to widely fund scientific research on this issue are the rapid inflationary rise of a cost of medical care without an adequate increase in its quality and safety for the patient. So, to contain the cost of medical care, it is necessary either to sacrifice its quality, which is unacceptable, or to develop a system that allows you to objectively reduce costs by introducing modern minimally sufficient and most efficient technologies. These requirements fully apply to laboratory diagnostics.
In addition, the inadequate quality of laboratory support can also negate the implementation of existing and projected government programs for the development of medicine (including programs to combat diabetes, cardiovascular diseases, development of family medicine), because they are more focused on world experience and do not take into account the state of laboratory medicine in Ukraine, which today does not meet modern requirements.
The preparation of bachelors of 6.120102 “Laboratory Diagnostics” in the Odessa region is absent despite the development of laboratory diagnostics, due to general trends in health care, which provides diagnostic assistance to patients in assessing health status, diagnosing diseases, monitoring the results of treatment, further prognosis of the disease and quality of life, which is of national importance for the preservation and improvement of public health.
The acute need for highly qualified bachelor’s specialists in the field of “Laboratory Diagnostics” is evidenced by the insufficient training of laboratory service specialists in laboratory diagnostics, including ensuring its quality. The existing training programs for laboratory service specialists do not meet modern requirements and do not take into account the significant changes that have taken place in the world community (for example, new requirements and training programs for laboratory medicine specialists adopted in Europe according to EU directives in 2005).
For this reason, given the lack of training of bachelors in the Odessa region, medical diagnostic centers and medical institutions feel an acute shortage of highly qualified laboratory assistants who would competently, professionally and efficiently perform all types of diagnostics that are listed in the educational qualification characteristics of the bachelor in 6.120102 Laboratory diagnosis.
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