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The private sector is a major source of drain of health workers from the public sector, particularly of laboratory personnel, pharmacists and doctors (Director HRH Administration, MoH, personal communication, May2008).
The findings are also congruent with the studies of Beckering and Brunner [ 3], Guidi and Lippi [ 33], and Plebani [ 34], which demonstrate that key reasons for the shortage in the public sector of medical laboratory specialists, including histopathologists, are early retirement, salary dissatisfaction and job dissatisfaction.
In the Finnish hospital sector, the privatization of laboratory and radiology units was not associated with increased long-term sickness absence [ 11].
Of these, immunoassay has undergone important and radical changes in recent years due to continuous technological development which has been spurred on by an increased demand for services analogous to that already occurring in other sectors of modern laboratory diagnostics.
It includes the establishment of an SHS sector in the Laboratory of Chemical Physics of Armenian Academy of Sciences, and in 1980 the organization of a new engineering division at the Institute of Chemical Physics, which was solely engaged in development of SHS materials for different commercial applications.
There is another confounding factor in estimating the number of cases: in the private sector a number of laboratory-confirmed dengue patients are referred to the public sector after a positive result.
The Austrian resistance reports (AURES) of the years 2008 and 2009 e.g. include the chapter "Resistance report for selected non-invasive microbial pathogens" which summarize the data from the ambulatory sector of several large microbiology laboratories from all over Austria; a change in the resistance pattern of the bacteria included can be observed in certain regions over several years (table 3).
This different salary scale probably contributed to the deficiency of laboratory technicians in the public sector in Zambia.
Another way of estimating the total dengue cases is by analyzing the number of laboratory tests for dengue requested from the private sector.
Furthermore, there is an extremely large sector of health R&D conducted in the laboratories of industrial companies.
* = does not add up to 15 owing due to missing value Just as in other service oriented sectors, medical personnel satisfaction with laboratory service is of utmost important as a feedback for quality of laboratory services.
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