017 - Un Patto per la modernizzazione della Medicina di Laboratorio in Italia

P. Cappelletti Pathology Modernization: an alleance In the very middle of an extremely difficult and critical evolution of the clinical lab, the discipline must overcome the distress born from uncertainty and exhaustion and affirm some perspectives of development. We recognize some kind of rationalization of the Italian clinical laboratories as unavoidable, not just because the economic drive. The real problem is the redundancy in structures and employees. A vast majority of active laboratories in Italy (> 5000, about 2500 public labs) is very scattered, and some private labs cannot attain critical mass nor representative case reports. The future demands coupling of efficiency to effectiveness; the driver is appropriateness. .... The ultimate challenge may be to recognize openly the political uses and misuses of evidence and to extend rules of evidence to government policy”.