Thursday, February 13, 2014

Lab Results: Direct to Consumer

A law was passed recently to allow patients to get lab results directly from the lab, removing the physician from the equation.

Statistics say that up to 7% of abnormal lab values are never called to patients by their physician.  The new direct from lab to patient rule aims to solve this problem.  However, in solving that problem does it create another potentially larger issue?

A large percentage of the population is unfamiliar with medical terminology and/or is not well versed in interpreting lab results.  Though I think that some people would be fine reading the results and looking up unknowns on Google, many could be put at risk without having a doctor or nurse immediately available to interpret the results for them.

I see two main issues with a lab releasing results directly to patients. 

1)      Abnormal lab values that are not clinically significant may cause patients unnecessary concern.  Sometimes abnormal values are not an indication of a bigger problem, but if you are not familiar with the world of medicine the bright red number on the page signaling an value outside of the “normal” range may scare you unnecessarily.

2)      As stated above, one of the main reasons for this new rule is that 7% of abnormal results were not called to the patient by the physician.  I think this rule may create more of a problem with physician phone calls in the end?  It may give physicians who have trouble remembering to call their patients even less of a reason to follow through on checking labs.  This could end up leaving more patients without an interpretation from their physician.


Overall, I don’t have strong emotional feelings either way, but I do think there are some important things to consider with direct to consumer labs.  I would love to hear what you all have to say about this new law.  Please leave your thoughts and comments below.

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