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Diagnostic Mythology Diagnostic Mythology
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Too Many Patients, Too Little Time Too Many Patients, Too Little Time
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Laboratory Facilities Are Too Expensive Laboratory Facilities Are Too Expensive
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The Ideal Tests for Africa Have Not Been Invented Yet The Ideal Tests for Africa Have Not Been Invented Yet
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Local Technical Expertise Cannot Support Diagnostic Testing Local Technical Expertise Cannot Support Diagnostic Testing
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Diagnostic Tests Are Superfluous Diagnostic Tests Are Superfluous
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Laboratory Diagnostics Make No Contribution to Disease Prevention Laboratory Diagnostics Make No Contribution to Disease Prevention
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The Real Roadblock: Lack of Sustained Commitment The Real Roadblock: Lack of Sustained Commitment
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A Road Map for Africa to Advocate Her Own Diagnosis A Road Map for Africa to Advocate Her Own Diagnosis
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Conclusion: The Feasibility of Laboratory Diagnosis in African Settings
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Published:January 2011
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Abstract
This concluding chapter focuses on the feasibility of diagnostic development. It debunks the six most prevalent myths about diagnostic development in Africa. These myths are: (i) eliminating necessary diagnostic tests would make patient care more efficient; (ii) laboratory facilities are too expensive; (iii) the ideal tests for Africa have not been invented; (iv) local technical expertise cannot support diagnostic testing; (v) diagnostic tests are superfluous; and (vi) laboratory diagnostics make no contribution to disease prevention. It argues that more than funds, expertise, or knowledge, what is needed to spur diagnostic development is a long-term commitment from all stakeholders. This includes health workers and policymakers as well as those that bear the ultimate costs of diagnostic inadequacies—patients and others that pay for health care such as governments and donors. The chapter concludes with a road map for Africa to advocate her own diagnosis.
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