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Improving pathology and laboratory medicine in low-income and middle-income countries: roadmap to solutions

The Lancet (British edition), 2018-05, Vol.391 (10133), p.1939-1952 [Peer Reviewed Journal]

2018 Elsevier Ltd ;Copyright © 2018 Elsevier Ltd. All rights reserved. ;2018. Elsevier Ltd ;ISSN: 0140-6736 ;EISSN: 1474-547X ;DOI: 10.1016/S0140-6736(18)30459-8 ;PMID: 29550027

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Title:
Improving pathology and laboratory medicine in low-income and middle-income countries: roadmap to solutions
Author: Sayed, Shahin ; Cherniak, William ; Lawler, Mark ; Tan, Soo Yong ; El Sadr, Wafaa ; Wolf, Nicholas ; Silkensen, Shannon ; Brand, Nathan ; Looi, Lai Meng ; Pai, Sanjay A ; Wilson, Michael L ; Milner, Danny ; Flanigan, John ; Fleming, Kenneth A
Subjects: Accreditation ; Biometrics ; Breast cancer ; Budgets ; Continuing professional development ; Developing countries ; Education ; Health care ; Human resources ; Income ; Information systems ; Infrastructure ; Laboratories ; LDCs ; Low income groups ; Medicine ; Monetary incentives ; New technology ; Occupational health ; Palm ; Partnerships ; Pathology ; Patients ; Professional development ; Professionals ; Public sector ; Quality assurance ; Quality of care ; Supply chains ; Training ; Tuberculosis
Is Part Of: The Lancet (British edition), 2018-05, Vol.391 (10133), p.1939-1952
Description: Insufficient awareness of the centrality of pathology and laboratory medicine (PALM) to a functioning health-care system at policy and governmental level, with the resultant inadequate investment, has meant that efforts to enhance PALM in low-income and middle-income countries have been local, fragmented, and mostly unsustainable. Responding to the four major barriers in PALM service delivery that were identified in the first paper of this Series (workforce, infrastructure, education and training, and quality assurance), this second paper identifies potential solutions that can be applied in low-income and middle-income countries (LMICs). Increasing and retaining a quality PALM workforce requires access to mentorship and continuing professional development, task sharing, and the development of short-term visitor programmes. Opportunities to enhance the training of pathologists and allied PALM personnel by increasing and improving education provision must be explored and implemented. PALM infrastructure must be strengthened by addressing supply chain barriers, and ensuring laboratory information systems are in place. New technologies, including telepathology and point-of-care testing, can have a substantial role in PALM service delivery, if used appropriately. We emphasise the crucial importance of maintaining PALM quality and posit that all laboratories in LMICs should participate in quality assurance and accreditation programmes. A potential role for public-private partnerships in filling PALM services gaps should also be investigated. Finally, to deliver these solutions and ensure equitable access to essential services in LMICs, we propose a PALM package focused on these countries, integrated within a nationally tiered laboratory system, as part of an overarching national laboratory strategic plan.
Publisher: England: Elsevier Ltd
Language: English
Identifier: ISSN: 0140-6736
EISSN: 1474-547X
DOI: 10.1016/S0140-6736(18)30459-8
PMID: 29550027
Source: ProQuest One Psychology
AUTh Library subscriptions: ProQuest Central

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Improving pathology and laboratory medicine in low-income and middle-income countries: roadmap to solutions

2018 Elsevier Ltd ;Copyright © 2018 Elsevier Ltd. All rights reserved. ;2018. Elsevier Ltd ;ISSN: 0140-6736 ;EISSN: 1474-547X ;DOI: 10.1016/S0140-6736(18)30459-8 ;PMID: 29550027

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