> I've never really been heavily involved in this before, but I've just moved
> practices and have been asked my views on this. Has anyone any advice on
> whether worthwhile, software testing equipment etc. At our last practice we
> had a visit from the haematology department and I think I recall them
> mentioning that the cheaper kits were inaccurate and expensive to run with
> strips. I know that Robert Treharne Jones here is heavily involved with
> INRStar. Any help appreciated. What are the costs of the monitoring
> equipment? I suspect that there is very little if any revenue in this -
> especially the first year. Small practice - around 60 on ACs at the moment.
> Paul Bromley
I don't understand why practices want the extra work and the extra
responsibility.
Hospital labs have trained, wonderful techs who have dedicated time to do
this work and with inbuilt quality checks.
My local DGH (Ipswich) does it all for us once they get the blood,
and even in a rural area most of our patients get their result by
first class post the next day, and we get phone call in evening if
result really up the creek. I think if they need Vit K then hosp now
organizes this.
It can't be cheaper for it to be replicated in every practice, certainly
not if you cost in doctor time in learning, training, problem shooting,
and decision making.
Small is not beautiful on this IMO.
David Jobson
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