Cost Analysis of Operating an Anatomic Pathology Laboratory in a Middle-Income Country

Objective: To examine the cost of operating an anatomic pathology laboratory in a teaching hospital in Malaysia. Once the cost is determined, compare it with the costs of operating other laboratories in the same hospital, and operating anatomic pathology laboratories in other countries. Methods: Cos...

Full description

Bibliographic Details
Main Authors: Cheah, Phaik Leng, Looi, Lai Meng, Horton, Susan
Format: Article
Published: Oxford University Press 2017
Subjects:
_version_ 1825721837151059968
author Cheah, Phaik Leng
Looi, Lai Meng
Horton, Susan
author_facet Cheah, Phaik Leng
Looi, Lai Meng
Horton, Susan
author_sort Cheah, Phaik Leng
collection UM
description Objective: To examine the cost of operating an anatomic pathology laboratory in a teaching hospital in Malaysia. Once the cost is determined, compare it with the costs of operating other laboratories in the same hospital, and operating anatomic pathology laboratories in other countries. Methods: Cost and workload data were obtained from hospital records for 2015. Time allocation of staff between laboratory testing and other activities was determined using assumptions from published workload studies. Results: The laboratory received 20,093 cases for testing in 2015, and total expenditures were US $1.20 million, ie, $61.97 per case. The anatomic pathology laboratory accounted for 5.2% of the laboratory budget at the hospital, compared to 64.3% for the clinical laboratory and 30.5% for the microbiology laboratory. We provide comparisons to a similar laboratory in the United States. Conclusions: Anatomic pathology is more costly than other hospital laboratories due to the labor-intensive work, but is essential, particularly for cancer diagnoses and treatment.
first_indexed 2024-03-06T05:56:26Z
format Article
id um.eprints-22258
institution Universiti Malaya
last_indexed 2024-03-06T05:56:26Z
publishDate 2017
publisher Oxford University Press
record_format dspace
spelling um.eprints-222582019-09-05T03:58:27Z http://eprints.um.edu.my/22258/ Cost Analysis of Operating an Anatomic Pathology Laboratory in a Middle-Income Country Cheah, Phaik Leng Looi, Lai Meng Horton, Susan R Medicine Objective: To examine the cost of operating an anatomic pathology laboratory in a teaching hospital in Malaysia. Once the cost is determined, compare it with the costs of operating other laboratories in the same hospital, and operating anatomic pathology laboratories in other countries. Methods: Cost and workload data were obtained from hospital records for 2015. Time allocation of staff between laboratory testing and other activities was determined using assumptions from published workload studies. Results: The laboratory received 20,093 cases for testing in 2015, and total expenditures were US $1.20 million, ie, $61.97 per case. The anatomic pathology laboratory accounted for 5.2% of the laboratory budget at the hospital, compared to 64.3% for the clinical laboratory and 30.5% for the microbiology laboratory. We provide comparisons to a similar laboratory in the United States. Conclusions: Anatomic pathology is more costly than other hospital laboratories due to the labor-intensive work, but is essential, particularly for cancer diagnoses and treatment. Oxford University Press 2017 Article PeerReviewed Cheah, Phaik Leng and Looi, Lai Meng and Horton, Susan (2017) Cost Analysis of Operating an Anatomic Pathology Laboratory in a Middle-Income Country. American Journal of Clinical Pathology, 149 (1). pp. 1-7. ISSN 0002-9173, DOI https://doi.org/10.1093/AJCP/AQX088 <https://doi.org/10.1093/AJCP/AQX088>. https://doi.org/10.1093/AJCP/AQX088 doi:10.1093/AJCP/AQX088
spellingShingle R Medicine
Cheah, Phaik Leng
Looi, Lai Meng
Horton, Susan
Cost Analysis of Operating an Anatomic Pathology Laboratory in a Middle-Income Country
title Cost Analysis of Operating an Anatomic Pathology Laboratory in a Middle-Income Country
title_full Cost Analysis of Operating an Anatomic Pathology Laboratory in a Middle-Income Country
title_fullStr Cost Analysis of Operating an Anatomic Pathology Laboratory in a Middle-Income Country
title_full_unstemmed Cost Analysis of Operating an Anatomic Pathology Laboratory in a Middle-Income Country
title_short Cost Analysis of Operating an Anatomic Pathology Laboratory in a Middle-Income Country
title_sort cost analysis of operating an anatomic pathology laboratory in a middle income country
topic R Medicine
work_keys_str_mv AT cheahphaikleng costanalysisofoperatingananatomicpathologylaboratoryinamiddleincomecountry
AT looilaimeng costanalysisofoperatingananatomicpathologylaboratoryinamiddleincomecountry
AT hortonsusan costanalysisofoperatingananatomicpathologylaboratoryinamiddleincomecountry