Vitamin b12 and folate tests: The ongoing need to determine appropriate use and public funding

Simple item page
dc.contributor.authorWillis, C.
dc.contributor.authorMetz, M.
dc.contributor.authorHiller, J.
dc.contributor.authorElshaug, A.
dc.date.issued2013
dc.description.abstractCriteria have been developed for assessing the safety, effectiveness and cost-effectiveness of new and emerging health interventions, but additional challenges exist in identifying opportunities for reducing the use of existing health technologies or procedures that are potentially overused, (cost-)ineffective or unsafe.1 Criteria have been proposed to flag technologies that might warrant further investigation under quality improvement programs.1 These criteria are: new evidence becomes available; there is geographical variation in use; variation in care between providers is present; the technology has evolved and differs markedly from the original; there exists a temporal trend in the volume of use; public interest or controversy is present; consultation with health care workers and funders raises concerns; new technology has displaced old technology; there is evidence of leakage (use beyond the restriction or indication); the technology or intervention is a “legacy item” that has never been assessed for cost-effectiveness; use is not in accordance with clinical guidelines; or the technology is nominated by clinical groups. After such a nomination was made by members of the clinical laboratory community regarding vitamin B12 and folate tests, we sought to determine whether these tests met other criteria. We hope that this article will encourage debate and discussion about the appropriate use of these tests.
dc.description.statementofresponsibilityCameron D Willis, Michael P Metz, Janet E Hiller and Adam G Elshaug
dc.identifier.citationMedical Journal of Australia, 2013; 198(11):586-588
dc.identifier.doi10.5694/mja12.11328
dc.identifier.issn0025-729X
dc.identifier.issn1326-5377
dc.identifier.orcidHiller, J. [0000-0002-8532-4033]
dc.identifier.orcidElshaug, A. [0000-0002-4939-5379]
dc.identifier.urihttp://hdl.handle.net/2440/79546
dc.language.isoen
dc.publisherAustralasian Med Publ Co Ltd
dc.rightsCopyright status unknown
dc.source.urihttps://doi.org/10.5694/mja12.11328
dc.subjectHumans
dc.subjectFolic Acid Deficiency
dc.subjectVitamin B 12 Deficiency
dc.subjectClinical Laboratory Techniques
dc.subjectReproducibility of Results
dc.subjectFinancing, Government
dc.subjectAustralia
dc.subjectPractice Guidelines as Topic
dc.titleVitamin b12 and folate tests: The ongoing need to determine appropriate use and public funding
dc.typeJournal article
pubs.publication-statusPublished

Files

Collections

Public Health publications