RESUMO
Price control is common in the national health system in the worldwide, in which the price control to physician's labor in China’s health system is relatively unique phenomenon. This mean of using the most important procedure factors in price control of the whole system has caused a series of adverse consequences: the interference of signal function of price, medical institutions relying too much on drug sales, the doctor’s behavior alienation, and agency relationship between doctor and patient failed resulting in the high tension of doctor-patient relationship. China’s health system got sick, and the price control to physician’s labor is the most important source. Let the price of doctor’s labor decided by the market mechanism is an important chose to regain the healthy development for China’s health system.
RESUMO
Objective To investigate the application of theoretical K value and the calibration K value on Hitachi 7600 Automatic Biochemical Analyzer .Methods Rate method was employed to detect alanine aminotransferase (ALT ) ,aspartate aminotransferase (AST) ,gamma-glutamyl transpeptidase(γ-GT) ,creatine kinase(CK) and lactate dehydrogenase(LDH) .The theoretical K value and K values calibrated by two kinds of calibration serum were recorded as K ,K1 ,K2 and the three kinds of calibration results of enzymes mentioned above were compared .Results The theoretical K values of ALT ,AST ,γ-GT ,CK and LDH were all less than their two kinds of actual K values .The results of the calibration K value were significantly superior to that of the theoretical K value .The calibration results R2 value of five kinds of enzymes were all greater than 0 .95 .Conclusion The theoretical K value is not suitable for clinical laboratories ,and the two kinds of calibration serum can meet the needs of quality control and clinical work .