A vision to the future: value-based laboratory medicine
Clinical Chemistry and Laboratory Medicine (CCLM), vol. 62, pp. 2373–2387
Abstract
Abstract The ultimate goal of value-based laboratory medicine is maximizing the effectiveness of laboratory tests in improving patient outcomes, optimizing resources and minimizing unnecessary costs. This approach abandons the oversimplified notion of test volume and cost, in favor of emphasizing the clinical utility and quality of diagnostic tests in the clinical decision-making. Several key elements characterize value-based laboratory medicine, which can be summarized in some basic concepts, such as organization of in vitro diagnostics (including appropriateness, integrated diagnostics, networking, remote patient monitoring, disruptive innovations), translation of laboratory data into clinical information and measurable outcomes, sustainability, reimbursement, ethics (e.g., patient empowerment and safety, data protection, analysis of big data, scientific publishing). Education and training are also crucial, along with considerations for the future of the profession, which will be largely influenced by advances in automation, information technology, artificial intelligence, and regulations concerning in vitro diagnostics. This collective opinion paper, composed of summaries from presentations given at the two-day European Federation of Laboratory Medicine (EFLM) Strategic Conference “A vision to the future: value-based laboratory medicine” (Padova, Italy; September 23–24, 2024), aims to provide a comprehensive overview of value-based laboratory medicine, projecting the profession into a more clinically effective and sustainable future.
Authors 22
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Affiliation as printed
Department of Laboratory Medicine , University of Padova , Padova , Italy
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Affiliation as printed
Department of Laboratory Medicine , Paracelsus Medical University , Salzburg , Austria
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Universitair Ziekenhuis Leuven
Affiliation as printed
Clinical Department of Laboratory Medicine , UZ Leuven , Leuven , Belgium
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Affiliation as printed
Department of Medical Biochemistry, Faculty of Pharmacy , University of Belgrade , Belgrade , Serbia
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University of Modena and Reggio Emilia · Akdeniz University
Affiliation as printed
Medical Faculty, Clinical and Experimental Medicine , University of Modena and Reggio Emilia , Modena , Italy
Medical Faculty, Department of Medical Biochemistry , Akdeniz University , Antalya , Türkiye
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Affiliation as printed
Bianalisi Group Monza , Roma, Italy
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Affiliation as printed
Centre of Primary Care and Health Services Research , University of Manchester , Manchester , UK
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Affiliation as printed
Trinity College , University of Cambridge , Cambridge , UK
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Affiliation as printed
BostonGene , Waltham , MA , USA
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Hôpital Necker-Enfants Malades · Université Paris Cité · Assistance Publique – Hôpitaux de Paris
Affiliation as printed
Onco-Hematology Laboratory , Necker Hospital and Université Paris Cité , Paris , France
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University of Padua · Azienda Ospedale - Università Padova
Affiliation as printed
Research Centre for Brain Aging (CRIC) , University Hospital of Padua , Padova , Italy
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Haraldsplass Diakonale Sykehus
Affiliation as printed
Noklus, Haraldsplass Deaconess Hospital , Bergen , Norway
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Affiliation as printed
Department of Medicine , University of Padova , Padova , Italy
Laboratory Medicine Unit , University-Hospital of Padova , Padova , Italy
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Affiliation as printed
Department of Pathology, Microbiology, and Immunology , Vanderbilt School of Medicine , Nashville , TN , USA
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Vita-Salute San Raffaele University · IRCCS Ospedale Galeazzi - Sant'Ambrogio
Affiliation as printed
IRCCS Galeazzi Sant’Ambrogio , Milan , Italy
University Vita e Salute San Raffaele , Milan , Italy
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Centers for Disease Control and Prevention
Affiliation as printed
Division of Laboratory Systems , Center for Laboratory Systems and Response, Centers for Disease Control and Prevention , Atlanta , GA , USA
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Affiliation as printed
Heidelberg University , Heidelberg , Germany
Medical Faculty of Mannheim , Vinzenz von Paul Kliniken gGmbH , Stuttgart , Germany
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Affiliation as printed
Laboratory Medicine , IRCCS San Raffaele Scientific Institute , Milan , Italy
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Charles University · General University Hospital in Prague
Affiliation as printed
Institute of Medical Biochemistry and Laboratory Diagnostics, 1st Faculty of Medicine , Charles University and General University Hospital , Prague , Czech Republic
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Leiden University Medical Center
Affiliation as printed
Department of Clinical Chemistry and Laboratory Medicine , Leiden University Medical Center , Leiden , The Netherlands
EFLM Committee on European Regulatory Affairs and EFLM Liaison to BioMed Alliance in Europe , Brussels , Belgium
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Affiliation as printed
Department of Clinical Chemistry , Erasmus MC University Medical Center , Rotterdam , The Netherlands
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Affiliation as printed
Section of Clinical Biochemistry , University of Verona , Verona , Italy
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