Resumo

AVILA, Leticia et al. Analysis of productivity, quality and cost of first grade laboratories: complete blood count. Rev. Saúde Pública [online]. 1999, vol.33, n.2, pp. 163-170. ISSN 0034-8910.  http://dx.doi.org/10.1590/S0034-89101999000200008.

OBJECTIVE: Assessment of productivity, quality and production costs and determination of the efficiency of top grade clinical laboratories in Mexico. METHODS: Ten laboratories were selected from among the total number (52) existing in Mexico City, and the Donabedian model of structure, process and results were applied. Blood count was selected as a tracer. RESULTS: The principal problems found were: inadequate distribution of trained human resources, poor glass material, inadequate analytic process and low productivity. These factors are reflected in the unit costs, which exceed reference laboratory costs by 200%. Only 50% of the laboratories analyzed generate reliable results. Only 20% of the laboratories studied operate efficiently. CONCLUSIONS: To solve the problems identified requires integral srategies at different levels. A specific recomendation for the improvement of quality and productivity is an assessment of the cost/benefit of creating a central laboratory and using the remaining sites exclusively for the collection of samples.

Palavras-chave : Laboratories; Biometry; Efficiency [organizational].