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E-DRUG: E-DRUG Contribution of laboratory examinations to rationmal drug use?

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E-DRUG Contribution of laboratory examinations to rationmal drug use?

Prompted by a discussion elsewhere about the rationale  of investing in 
improving the the quality of lab examinations for improving rational drug
use I 
would like to through a few questions to the members of this list.

At primary health care level in developing countries the most frequent 
pathologies are infectios/paracitic in origin. Theoretically a lab
examination 
e.g. stools examination for paracites has the potential to provide a solid
and 
rational basis for a pharmaceutical intervention.

What is not clear to me is the relative contribution of good laboratory 
services to rational drug use. So much has been studied and much is known
with 
regard to the factors which influence prescribing.

Can someone enlighten me whether studies have been carried out in order to 
quantify the contribution of good laboratory practices to rational
prescribing? 
The rationality return on investment?

Rational drug prescribing belongs to the category "an utopia of rationality" 
where one can only strive (hard) to come as close as possible.

Best regards

Ole Frank
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