The Use of a Shared Services Model for Mycobacteriology Testing: Lessons Learned
| العنوان: | The Use of a Shared Services Model for Mycobacteriology Testing: Lessons Learned |
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| المؤلفون: | William A Murtaugh, Debbie Gibson, Sarah N. Buss, Laura R Triplett, Kara Mitchell, Emily A. Travanty, Julie L Tans-Kersten, Heather Sease, Robyn Atkinson-Dunn, Timothy R. Southern, Shou-Yean Grace Lin, Kelly Wroblewski, Stephanie P. Johnston, Cortney Stafford, Angela M. Starks, Tracy Dalton, Ewa King |
| المصدر: | Public Health Reports. 133:93-99 |
| بيانات النشر: | SAGE Publications, 2017. |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | medicine.medical_specialty, Tuberculosis, Disease detection, Laboratory testing, 03 medical and health sciences, 0302 clinical medicine, Public health surveillance, medicine, Humans, Public Health Surveillance, 030212 general & internal medicine, Cooperative Behavior, Bacteriological Techniques, 030505 public health, biology, Research, Public health, Public Health, Environmental and Occupational Health, medicine.disease, biology.organism_classification, Disease control, United States, Mycobacterium tuberculosis complex, Public Health Practice, Cooperative behavior, Medical emergency, Business, Centers for Disease Control and Prevention, U.S, Laboratories, 0305 other medical science |
| الوصف: | Objectives: Public health laboratories (PHLs) provide essential services in the diagnosis and surveillance of diseases of public health concern, such as tuberculosis. Maintaining access to high-quality laboratory testing is critical to continued disease detection and decline of tuberculosis cases in the United States. We investigated the practical experience of sharing tuberculosis testing services between PHLs through the Shared Services Project. Methods: The Shared Services Project was a 9-month-long project funded through the Association of Public Health Laboratories and the Centers for Disease Control and Prevention during 2012-2013 as a one-time funding opportunity to consortiums of PHLs that proposed collaborative approaches to sharing tuberculosis laboratory services. Submitting PHLs maintained testing while simultaneously sending specimens to reference laboratories to compare turnaround times. Results: During the 9-month project period, 107 Mycobacterium tuberculosis complex submissions for growth-based drug susceptibility testing and molecular detection of drug resistance testing occurred among the 3 consortiums. The median transit time for all submissions was 1.0 day. Overall, median drug susceptibility testing turnaround time (date of receipt in submitting laboratory to result) for parallel testing performed in house by submitting laboratories was 31.0 days; it was 43.0 days for reference laboratories. The median turnaround time for molecular detection of drug resistance results was 1.0 day (mean = 2.8; range, 0-14) from specimen receipt at the reference laboratories. Conclusions: The shared services model holds promise for specialized tuberculosis testing. Sharing of services requires a balance among quality, timeliness, efficiency, communication, and fiscal costs. |
| تدمد: | 1468-2877 0033-3549 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::0d94f9df900573585cd9521c73473d88 https://doi.org/10.1177/0033354917743498 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....0d94f9df900573585cd9521c73473d88 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14682877 00333549 |
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