High Quality Diagnosis: An Essential Pathology Package

Authors: Kenneth Fleming, Mahendra Naidoo, Michael Wilson, John Flanigan, Susan Horton, Modupe Kuti, Lai Meng Looi, Christopher Price, Kun Ru, Abdul Ghafur, Jianxiang Wang, Nestor Lago


This chapter specifies an essential minimal package of services that should prove available in low- and middle-income countries (LMICs) to provide access to pathology services of acceptable quality, affordability, and timeliness to a majority of the population, especially outside of major cities. Pathology remains a cross-cutting discipline upon which the other health disciplines depend and a crucial component in the care pathway. Pathologists are diagnosticians who, as part of the clinical team, play a key role in (1) linking clinical services with laboratory services; (2) providing leadership; and (3) capitalizing on the opportunities arising from rapidly emerging new technologies. Pathology contributes to research in both communicable and noncommunicable diseases, and it plays a central role in national policy planning. The rapidly increasing burden of noncommunicable diseases makes the implementation of the essential pathology package a priority, and its provision requires an integrated network to achieve the benefits of shared knowledge, expertise, communication, and economies of scale.


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