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Klínískar efnamælingar og bakteríurannsóknir á Íslandi árið 1990

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Authors
Vigfús Þorsteinsson

Elín Ólafsdóttir
Leifur Franzson
Matthías Eggert Halldórsson
Ólafur Steingrímsson
Þorvaldur Veigar Guðmundsson
Issue Date
1995-01-01

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Other Titles
Clinical chemistry and bacteriological testing in Iceland 1990
Citation
Læknablaðið 1995, 81(1):27-33
Abstract
In this article we present the number and composition of clinical laboratory testing, both haematological, biochemical and bacteriological, performed at hospitals, primary care centers and private clinics in Iceland, in the year 1990. Inquiries were sent to 85 institutions, 52 (61%) responded. The number of assays performed at the laboratories/institutions not responding was estimated. The total number of assays performed in 1990 at these Icelandic institutions was 1.7 million which equals to 6.7 tests per person. Comparison to a similar investigation of assays done in 1982 showed that for those institutions which participated both years the number of tests other than bacteriological tests had increased by 23.2%. Tests done at larger hospitals had increased by 30%, at intermediate sized hospitals they had increased by 14.5%, and testing at primary care centers had decreased by 10% between 1982 and 1990. Bacteriological and clinical chemistry tests increased significantly or by 53% and 49% respectively. On the other hand hematological tests increased only by 1% and tests on urine decreased by 25%. By far the most common assay performed was blood count, ESR came second both years.
Könnun var gerð á fjölda og tegundum meinefnafræði-, blóðmeinafræði- og bakteríurannsókna á Íslandi árið 1990. Spurningalistar voru sendir til allra aðila á landinu sem taldir voru gera slíkar rannsóknir, alls 85 stofnana. Spurt var um fjölda og tegundir rannsókna á viðkomandi ári. Svör bárust frá 52 eða 61%. Rannsóknafjöldi þeirra stofnana sem ekki svöruðu var áætlaður. Alls reyndust um 1,7 milljónir rannsókna gerðar á landinu þetta ár sem svarar til 6,7 rannsókna á einstakling. Samanburður við fyrri könnun fyrir árið 1982 leiddi í ljós 28,5% fjölgun rannsókna á tímabilinu eða 3,0% aukningu á ári. Mest var aukningin í bakteríuræktunum eða 53%, 49% í meinefnafræðirannsóknum, 1% í blóðmeinafræðirannsóknum en þvagrannsóknum fækkaði um 25%. Aðrar rannsóknir jukust um 26%. Rannsóknum við heilsugæslustöðvar fækkaði um 10% en rannsóknum fjölgaði við sjúkrahús; 30% við stór sjúkrahús og 14,5% við önnur sjúkrahús. Upplýsingar um breytingar á rannsóknafjölda við einkareknar rannsóknastofur liggja ekki fyrir. Blóðhagur og sökkmæling voru algengustu rannsóknirnar. Öll stór sjúkrahús, um fimmti hluti annarra sjúkrahúsa en engin heilsugæslustöð tóku þátt í ytra gæðaeftirliti.
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