Οργάνωση λειτουργίας μικροβιολογικού εργαστηρίου στην πρωτοβάθμια φροντίδα υγείας
The medical microbiological laboratory in Greek primaray health care : planning and organizing
SubjectΜικροβιολογία ; Microbiology ; Microbiological laboratories -- Quality control ; Microbiological laboratories -- Equipment and supplies ; Microbiological laboratories -- Safety measures
The purpose of this work is a step by step and an entire presentation of all necessary strategy procedures that should be followed in order for a medical microbiological laboratory to operate in an efficient and effective way so that the final purpose of its operation is fulfilled. That is the contribution in a team effort supported by the National Health System of Greece and the advancement of the health of the population. For the needs of this work an extensive bibliographical research was performed and selected medical microbiological laboratories in Athens and the suburbs were visited. At first, a preliminary presentation of the Health care system as applied in Greece including the placement of the medical microbiological laboratories both in secondary health (as parts of hospitals) and primary health (privet laboratories) is given. It is followed by historical data regarding the science of Microbiology in general, and then the procedures, legal frame, necessary equipment, existing laboratory examinations and microbiological laboratory personnel are presented. Moreover, issues regarding protection and safety, such as waste management and validation procedures, necessary criteria for guaranteeing the safe and qualitative operation of a microbiological laboratory, are presented in detail. Finally, and in order to draw general conclusions regarding the sustainability of an average medical microbiological laboratory some typical operational costs are presented. It is concluded that given the increasing need, and as a consequence demand, for such laboratories while the establishment and maintenance costs remain high enough , and although the compensation given by the state through the insurance agencies is low, the decision for the operation of a microbiology lab is in general profitable. This provided that it is backed by a strong business plan aiming towards swiftness, results validity, quality of service and thus customer satisfaction.