Opinion: redefining the role of the physician in laboratory medicine in the context of emerging technologies, personalised medicine and patient autonomy (‘4P medicine’)

The role of clinical pathologists or laboratory-based physicians is being challenged on several fronts—exponential advances in technology, increasing patient autonomy exercised in the right to directly request tests and the use of non-medical specialists as substitutes. In response, clinical patholo...

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Main Authors: Orth, Matthias (Author) , Averina, Maria (Author) , Chatzipanagiotou, Stylianos (Author) , Faure, Gilbert (Author) , Haushofer, Alexander (Author) , Kusec, Vesna (Author) , Machado, Augusto (Author) , Misbah, Siraj A. (Author) , Oosterhuis, Wytze (Author) , Pulkki, Kari (Author) , Twomey, Patrick J. (Author) , Wieland, Eberhard (Author)
Format: Article (Journal)
Language:English
Published: 2019
In: Journal of clinical pathology
Year: 2017, Volume: 72, Issue: 3, Pages: 191-197
ISSN:1472-4146
DOI:10.1136/jclinpath-2017-204734
Online Access:Verlag, Volltext: https://doi.org/10.1136/jclinpath-2017-204734
Verlag, Volltext: https://jcp.bmj.com/content/72/3/191
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Author Notes:Matthias Orth, Maria Averina, Stylianos Chatzipanagiotou, Gilbert Faure, Alexander Haushofer, Vesna Kusec, Augusto Machado, Siraj A. Misbah, Wytze Oosterhuis, Kari Pulkki, Patrick J. Twomey, Eberhard Wieland
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Summary:The role of clinical pathologists or laboratory-based physicians is being challenged on several fronts—exponential advances in technology, increasing patient autonomy exercised in the right to directly request tests and the use of non-medical specialists as substitutes. In response, clinical pathologists have focused their energies on the pre-analytical and postanalytical phases of Laboratory Medicine thus emphasising their essential role in individualised medical interpretation of complex laboratory results. Across the European Union, the role of medical doctors is enshrined in the Medical Act. This paper highlights the relevance of this act to patient welfare and the need to strengthen training programmes to prevent an erosion in the quality of Laboratory Medicine provided to patients and their physicians.
Item Description:Published online: 22 December 2017
Gesehen am 11.11.2019
Physical Description:Online Resource
ISSN:1472-4146
DOI:10.1136/jclinpath-2017-204734