The future development of China's laboratory medicine will show five trends: management will be standardized, standardized direction of development, technology will be developed to automation, the test will be vector to know the number of sources of the direction of development, the division of labor to the direction of the development of the segmentation of the staff, independent laboratories will also become an important direction of development. The development of Chinese laboratory medicine, the most important is the technology and management of two aspects.
First, from the management side, the laboratory is a process, standardization, standardization is its future development trend. At present, developed countries have formulated a number of laws on clinical testing, in fact, this is the highest source of standardization and normalization. In addition, the International Organization for Standardization also has a large number of relevant recommended guidelines issued, the emphasis is also on standardization, standardization.
The second is technology. In terms of technology, automation should be an important trend in its development. In addition, molecular biology should also be a highlight of its future development. The development of molecular biology, the breakthrough of human genes decryption, for individualized treatment will gradually become the trend. What is the basis of individualized treatment? It is to have individualized and unique diagnosis. For example, genes, each person is not the same deviation, unlike our current treatment diagnosis, for example, as long as the pneumonia is basically a prescription, the same type of disease all with a program of treatment.
Third, from the test point of view, the accuracy of clinical test data has always been a problem, and even different manufacturers of the same test results are not the same, the same machine produced by different manufacturers are not the same. And clinical testing is to provide services for clinical diagnosis and treatment, so the emergence of the above situation will bring great difficulties to clinical diagnosis. Now more emphasis on the international quantitative knowledge of the source of the problem, which should be a future development trend.
Fourth, the division of labor. This aspect of the developed countries have done quite well, but in our country is still only a development trend. In fact, now in the laboratory, laboratory, work functions are not clearly divided, with the above mentioned treatment and diagnostic programs, regardless of what level of personnel, basically doing the same thing, do not really reflect the connotation and value of the test. Now many hospitals are emphasizing their current introduction of doctoral and master's degree students, but the problem is that regardless of your introduction of doctoral or master's degree students, the key is to make the best use of their talents, so that they are in different positions as far as possible to play their role. Therefore, the division of labor must be subdivided, that is to say, someone specializing in experiments, someone specializing in quality control, someone specializing in audit reports, someone specializing in clinical contact and so on.
Fifth, independent laboratories is also an important development trend. The main benefits of independent laboratories is to save money, quality assurance, and is conducive to the country's existing medical resources to supplement, rather than the impact of the existing national medical resources, in the country in the people in any aspect is a very favorable thing.
The development trend of laboratory medicine and the future direction of the discussion can be based on two aspects: the actual needs (including government needs, clinical needs and the need for sustainable development of the laboratory itself) and the laws of the market (to consider the impact of competition). To this end, the future of laboratory medicine will be "five" development, namely, standardization, automation, information technology, humanization and clinical.
At present, China's laboratory medicine routine technology has been in line with the world. And with the improvement of the education system, systematic training, professional training to strengthen the quality of China's laboratory medicine industry practitioners have also had a great improvement, which will have a very good environmental opportunity for the introduction of highly sophisticated technology into the testing community. Automation should become an important trend in the development of laboratory medicine technology, and molecular biology should also be a highlight of its future development. What can be seen is that with the development of molecular biology, human genetic breakthroughs deciphered, personalized treatment will gradually become the trend of development.
With the advances in physics, chemistry, and especially the progress and gradual introduction of molecular biology, the testing community may see a dramatic change in the near future. It will not only make the diagnosis of disease from the current post-testing to prospective change, increase the proportion of early diagnosis, but also to the targeted guidance on the use of medication, the positive evaluation of the therapeutic effect. The development of science and technology has brought opportunities to laboratory medicine, but also brought great challenges. With the continuous application of new technologies and new equipment, new problems are constantly emerging. One of the most obvious problems is the mandatory downward adjustment of test prices, it seems that only the test costs down, the whole medical costs can be reduced. But the actual situation is not so, in many cases, through careful testing can not only provide help for clinical diagnosis, but also help patients effectively reduce medical costs, to avoid spending a lot of money. At present, the domestic testing community in the standard is still very weak, not only a single test card a city common goal is out of reach, that is, in a hospital has not been able to achieve uniformity of test results.
At present, the domestic test in the field of medicine problems are mainly manifested in seven areas: standard issues, the development of testing and technology development, laboratory management, from the medical testing to the transformation of test medicine, testing costs and medical cost relationship, resources **** enjoy the problem, how to do a big test and other issues.
In terms of the transformation from medical testing to laboratory medicine, the role of the laboratory in the past is to supply information, and therefore require the laboratory to provide accurate and timely results. And now in foreign countries, the laboratory has begun to supply information from the supply of information to the supply of information change. Medical testing to the transformation of laboratory medicine, in essence, from the supply of data to the supply of information. The supply of information not only to provide data, but also to make these data clear, which is a very big challenge. China has not yet established a real test physician team, and the establishment of it is a systematic project, need to start from education.