Delivering modern, high-quality, affordable pathology and laboratory medicine to low-income and middle-income countries: a call to action
Modern, affordable pathology and laboratory medicine (PALM) systems are essential to achieve the 2030 Sustainable Development Goals for health in low-income and middle-income countries (LMICs). In this last in a Series of three papers about PALM in LMICs, we discuss the policy environment and emphas...
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ftkingscollondon:oai:kclpure.kcl.ac.uk:publications/29e495dc-3161-4507-91d8-c47e2dcae4b3 2024-09-09T19:40:33+00:00 Delivering modern, high-quality, affordable pathology and laboratory medicine to low-income and middle-income countries: a call to action Horton, Susan Sullivan, Richard Flanigan, John Fleming, Kenneth A Kuti, Modupe A Looi, Lai Meng Pai, Sanjay A Lawler, Mark 2018-03-15 https://kclpure.kcl.ac.uk/portal/en/publications/29e495dc-3161-4507-91d8-c47e2dcae4b3 https://doi.org/10.1016/S0140-6736(18)30460-4 https://www.sciencedirect.com/science/article/pii/S0140673618304604 eng eng https://kclpure.kcl.ac.uk/portal/en/publications/29e495dc-3161-4507-91d8-c47e2dcae4b3 info:eu-repo/semantics/restrictedAccess Horton , S , Sullivan , R , Flanigan , J , Fleming , K A , Kuti , M A , Looi , L M , Pai , S A & Lawler , M 2018 , ' Delivering modern, high-quality, affordable pathology and laboratory medicine to low-income and middle-income countries: a call to action ' , Lancet . https://doi.org/10.1016/S0140-6736(18)30460-4 article 2018 ftkingscollondon https://doi.org/10.1016/S0140-6736(18)30460-4 2024-06-25T14:45:12Z Modern, affordable pathology and laboratory medicine (PALM) systems are essential to achieve the 2030 Sustainable Development Goals for health in low-income and middle-income countries (LMICs). In this last in a Series of three papers about PALM in LMICs, we discuss the policy environment and emphasise three crucial high-level actions that are needed to deliver universal health coverage. First, nations need national strategic laboratory plans; second, these plans require adequate financing for implementation; and last, pathologists themselves need to take on leadership roles to advocate for the centrality of PALM to achieve the Sustainable Development Goals for health. The national strategic laboratory plan should deliver a tiered, networked laboratory system as a central element. Appropriate financing should be provided, at a level of at least 4% of health expenditure. Financing of new technologies such as molecular diagnostics is challenging for LMICs, even though many of these tests are cost-effective. Point-of-care testing can substantially reduce test-reporting time, but this benefit must be balanced with higher costs. Our research analysis highlights a considerable deficiency in advocacy for PALM; pathologists have been invisible in national and international health discourse and leadership. Embedding PALM in LMICs can only be achieved if pathologists advocate for these services, and undertake leadership roles, both nationally and internationally. We articulate eight key recommendations to address the current barriers identified in this Series and issue a call to action for all stakeholders to come together in a global alliance to ensure the effective provision of PALM services in resource-limited settings. Article in Journal/Newspaper First Nations King's College, London: Research Portal The Lancet 391 10133 1953 1964 |
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King's College, London: Research Portal |
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ftkingscollondon |
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English |
description |
Modern, affordable pathology and laboratory medicine (PALM) systems are essential to achieve the 2030 Sustainable Development Goals for health in low-income and middle-income countries (LMICs). In this last in a Series of three papers about PALM in LMICs, we discuss the policy environment and emphasise three crucial high-level actions that are needed to deliver universal health coverage. First, nations need national strategic laboratory plans; second, these plans require adequate financing for implementation; and last, pathologists themselves need to take on leadership roles to advocate for the centrality of PALM to achieve the Sustainable Development Goals for health. The national strategic laboratory plan should deliver a tiered, networked laboratory system as a central element. Appropriate financing should be provided, at a level of at least 4% of health expenditure. Financing of new technologies such as molecular diagnostics is challenging for LMICs, even though many of these tests are cost-effective. Point-of-care testing can substantially reduce test-reporting time, but this benefit must be balanced with higher costs. Our research analysis highlights a considerable deficiency in advocacy for PALM; pathologists have been invisible in national and international health discourse and leadership. Embedding PALM in LMICs can only be achieved if pathologists advocate for these services, and undertake leadership roles, both nationally and internationally. We articulate eight key recommendations to address the current barriers identified in this Series and issue a call to action for all stakeholders to come together in a global alliance to ensure the effective provision of PALM services in resource-limited settings. |
format |
Article in Journal/Newspaper |
author |
Horton, Susan Sullivan, Richard Flanigan, John Fleming, Kenneth A Kuti, Modupe A Looi, Lai Meng Pai, Sanjay A Lawler, Mark |
spellingShingle |
Horton, Susan Sullivan, Richard Flanigan, John Fleming, Kenneth A Kuti, Modupe A Looi, Lai Meng Pai, Sanjay A Lawler, Mark Delivering modern, high-quality, affordable pathology and laboratory medicine to low-income and middle-income countries: a call to action |
author_facet |
Horton, Susan Sullivan, Richard Flanigan, John Fleming, Kenneth A Kuti, Modupe A Looi, Lai Meng Pai, Sanjay A Lawler, Mark |
author_sort |
Horton, Susan |
title |
Delivering modern, high-quality, affordable pathology and laboratory medicine to low-income and middle-income countries: a call to action |
title_short |
Delivering modern, high-quality, affordable pathology and laboratory medicine to low-income and middle-income countries: a call to action |
title_full |
Delivering modern, high-quality, affordable pathology and laboratory medicine to low-income and middle-income countries: a call to action |
title_fullStr |
Delivering modern, high-quality, affordable pathology and laboratory medicine to low-income and middle-income countries: a call to action |
title_full_unstemmed |
Delivering modern, high-quality, affordable pathology and laboratory medicine to low-income and middle-income countries: a call to action |
title_sort |
delivering modern, high-quality, affordable pathology and laboratory medicine to low-income and middle-income countries: a call to action |
publishDate |
2018 |
url |
https://kclpure.kcl.ac.uk/portal/en/publications/29e495dc-3161-4507-91d8-c47e2dcae4b3 https://doi.org/10.1016/S0140-6736(18)30460-4 https://www.sciencedirect.com/science/article/pii/S0140673618304604 |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
Horton , S , Sullivan , R , Flanigan , J , Fleming , K A , Kuti , M A , Looi , L M , Pai , S A & Lawler , M 2018 , ' Delivering modern, high-quality, affordable pathology and laboratory medicine to low-income and middle-income countries: a call to action ' , Lancet . https://doi.org/10.1016/S0140-6736(18)30460-4 |
op_relation |
https://kclpure.kcl.ac.uk/portal/en/publications/29e495dc-3161-4507-91d8-c47e2dcae4b3 |
op_rights |
info:eu-repo/semantics/restrictedAccess |
op_doi |
https://doi.org/10.1016/S0140-6736(18)30460-4 |
container_title |
The Lancet |
container_volume |
391 |
container_issue |
10133 |
container_start_page |
1953 |
op_container_end_page |
1964 |
_version_ |
1809909896051687424 |