Clinical Chemistry towards the future-where to go?
1Department of Clinical Chemistry and Transfusion Medicine, Sahlgrenska University Hospital, Institute of Biomedicine, Göteborg, Sweden
The discipline of Clinical Chemistry has experienced a tremendous technical development in the recent decades where manual work with in-house analytical methods has been replaced with highly automated analytical platforms. Furthermore the width of the analytical arsenal has been broadened and besides the classical analytical chemistry technologies clinical chemistry now also includes other techniques e.g. immunology, molecular biology, genetics, mass spectrometry and bioinformatics. The Clinical Chemistry laboratory at Sahlgrenska University hospital has in addition to broad routine analysis also the clinical responsibility of advanced diagnostics in hematology and inborn error of metabolism. The organization of this broader consulting demand will be discussed as well as the converging technologies in other parts of Laboratory Medicine where the organization is moving towards multidisciplinary platforms with a “front office” of different clinical diagnostic disciplines combined with a “back office” of joint analytical technologies. The organizational and economical consequences of a multidisciplinary laboratory will be discussed.