An information system of clinical pathway management based on the integration between knowledge management and learning organization

被引：2

作者：

Liu J. ^{[1
]}

Li K. ^{[1
]}

机构：

[1] Zhejiang Chinese Medical University, Hangzhou

来源：

Ingenierie des Systemes d'Information | 2019年 / 24卷 / 05期

关键词：

Clinical pathway (CP); Knowledge management; Learning organization; Organizational performance; Structural equation modelling (SEM);

D O I：

10.18280/isi.240503

中图分类号：

学科分类号：

摘要：

Inspired by the integration between knowledge management and learning organization (K-L integration), this paper sets up a clinical pathway (CP) management model based on K-L integration, and puts forward several hypotheses on the chain of positive impacts between CP management process, CP organizational optimization and CP performance. To verify the effectiveness of the model, a questionnaire survey was carried out at a provincial first-class hospital, and the survey data were subjected to reliability and validity tests. The proposed hypotheses were verified based on the reliable and valid samples. The data analysis shows that the proposed model has good fitting effect. Based on the model, the authors established an information system of CP management that enhances the CP knowledge among medical personnel, promotes medical quality and reduces the medical cost. The research results shed new light on the CP management in hospitals. © 2019 International Information and Engineering Technology Association. All rights reserved.

引用

页码：473 / 480

页数：7

共 25 条

[1]

Lawal A.K., Rotter T., Kinsman L., Machotta A., Ronellenfitsch U., Scott S.D., Goodridge D., Plishka C., Groot G., What is a clinical pathway? Refinement of an operational definition to identify clinical pathway studies for a Cochrane systematic review, BMC Medicine, 14, 1, pp. 35-39, (2016)

[2]

Yamashita T., Flanagan B., Wakata Y., Hamai S., Nakashima Y., Iwamoto Y., Nakashima N., Hirokawa S., Visualization of key factor relation in clinical pathway, Procedia Computer Science, 60, pp. 342-351, (2015)

[3]

Gutenstein M., Pickering J.W., Than M., Development of a digital clinical pathway for emergency medicine: Lessons from usability testing and implementation failure, Health Informatics Journal, 25, 4, pp. 1563-1571, (2018)

[4]

Shitkova M., Taratukhin V., Becker J., Towards a methodology and a tool for modeling clinical pathways, Procedia Computer Science, 63, pp. 205-212, (2015)

[5]

Schuld J., Schafer T., Nickel S., Jacob P., Schilling M.K., Richter S., Impact of it-supported clinical pathways on medical staff satisfaction. A prospective longitudinal cohort study, International Journal of Medical Informatics, 80, 3, pp. 151-156, (2011)

[6]

Kasmire K.E., Hoppa E.C., Patel P.P., Boch K.N., Sacco T., Waynik I.Y., Reducing invasive care for low-risk febrile infants through implementation of a clinical pathway, Pediatrics, 143, 3, (2019)

[7]

Eubank B.H.F., Lafave M.R., Preston W.J., Sheps D.M., Bois A.J., Mohtadi N.G., Evaluating quality of care for patients with rotator cuff disorders, BMC Health Services Research, 18, 1, pp. 569-581, (2018)

[8]

Stout N.L., Sleight A., Pfeiffer D., Galantino M.L., Desouza B., Promoting assessment and management of function through navigation: Opportunities to bridge oncology and rehabilitation systems of care, Supportive Care in Cancer, 27, 12, pp. 4497-4505, (2019)

[9]

Jimenez-Molina A., Gaete-Villegas J., Fuentes J., Profuso: Business process and ontology-based framework to develop ubiquitous computing support systems for chronic patients' management, Journal of Biomedical Informatics, 82, pp. 106-127, (2018)

[10]

Reich B.H., Gemino A., Sauer C., Knowledge management and project-based knowledge in it projects: A model and preliminary empirical results, International Journal of Project Management, 30, 6, pp. 663-674, (2012)

← 1 2 3 →