Defining pathways.

نویسندگان

  • Leentje De Bleser
  • Roeland Depreitere
  • Katrijn De Waele
  • Kris Vanhaecht
  • Joan Vlayen
  • Walter Sermeus
چکیده

AIMS AND BACKGROUND The term 'clinical pathway' is internationally accepted in all settings of healthcare management. The way in which clinical pathways have been developed in the United Kingdom differs from that in the USA. Besides the international differences in the purpose, many alternative names also can be found. These have led to confusion. There is no single, widely accepted definition of a clinical pathway. The aim of the study was to survey the definitions used in describing the concept and to derive key characteristics of clinical pathways. METHOD Using the PubMed, we conducted a review of literature published between January 2000 and December 2003 using the following terms: critical pathway, clinical pathway, integrated care pathway, care pathway and care map. All reports reviewed had to use the concept, as defined by the Medical Subject Headings term, to be considered. To assess all definitions, the concept analysis method was used. RESULTS In 82 of the 263 eligible articles, the definition of pathway was given. Totally, we found 84 different definitions. Each definition was rephrased by taking into consideration the following three features inherent to pathways: nouns, characteristics and aims and outcomes. Every feature was further divided into categories. CONCLUSIONS A clinical pathway is a method for the patient-care management of a well-defined group of patients during a well-defined period of time. A clinical pathway explicitly states the goals and key elements of care based on Evidence Based Medicine (EBM) guidelines, best practice and patient expectations by facilitating the communication, coordinating roles and sequencing the activities of the multidisciplinary care team, patients and their relatives; by documenting, monitoring and evaluating variances; and by providing the necessary resources and outcomes. The aim of a clinical pathway is to improve the quality of care, reduce risks, increase patient satisfaction and increase the efficiency in the use of resources.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Defining Pathways and Trade-offs Toward Universal Health Coverage; Comment on “Ethical Perspective: Five Unacceptable Trade-offs on the Path to Universal Health Coverage”

The World Health Organization’s (WHO’s) World Health Report 2010, “Health systems financing, the path to universal coverage,” promoted universal health coverage (UHC) as an aspirational objective for country health systems. Yet, in addition to the dimensions of services and coverage, distribution of coverage in the population, and financial risk protection highlighted by the report, the conside...

متن کامل

Signaling pathways involved in chronic myeloid leukemia pathogenesis: the importance of targeting Musashi2-Numb signaling to eradicate leukemia stem cells

Objective(s): Chronic myeloid leukemia (CML) is a myeloid clonal proliferation disease defining by the presence of the Philadelphia chromosome that shows the movement of BCR-ABL1. In this study, the critical role of the Musashi2-Numb axis in determining cell fate and relationship of the axis to important signaling pathways such as Hedgehog and Notch that are essential ...

متن کامل

Active pathway identification and classification with probabilistic ensembles.

A popular means of modeling metabolic networks is through identifying frequently observed pathways. However the definition of what constitutes an observation of a pathway and how to evaluate the importance of identified pathways remains unclear. In this paper we investigate different methods for defining an observed pathway and evaluate their performance with pathway classification models. We u...

متن کامل

High School Mathematics Pathways

Defining the Two Pathways For the purposes of planning for high school curriculum, Indiana Department of Education (IDOE) is setting forth two possible paths for high school mathematics: a traditional pathway and an integrated pathway. It is important to note that Indiana is not mandating either approach; however, IDOE encourages districts to carefully consider both options before making a deci...

متن کامل

‎f‎inding the defining hyperplanes of production possibility set with ‎variable‎ returns to scale using the linear independent ‎vectors‎‎

The Production Possibility Set (PPS) is defined as the set of all inputs and outputs of a system in which inputs can produce outputs‎. ‎In Data Envelopment Analysis (DEA)‎, ‎it is highly important to identify the defining hyperplanes and especially the strong defining hyperplanes of the empirical PPS‎. ‎Although DEA models can determine the efficiency of a Decision Making Unit (DMU)‎, ‎but they...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Journal of nursing management

دوره 14 7  شماره 

صفحات  -

تاریخ انتشار 2006