Development and implementation of a clinical pathway programme in an acute care general hospital in Singapore

被引:43
作者
Cheah, J [1 ]
机构
[1] Natl Healthcare Grp, Singapore, Singapore
关键词
care processes; cost-effectiveness; quality of care; variances;
D O I
10.1093/intqhc/12.5.403
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
A critical or clinical pathway defines the optimal care process, sequencing and timing of interventions by doctors, nurses and other health care professionals for a particular diagnosis or procedure. Clinical pathways are det-eloped through collaborative efforts of clinicians, case managers, nurses, pharmacists, physiotherapists and other allied health care professionals with the aim of improving the quality of patient care, while minimizing cost to the patient. The use of clinical pathways has increased over the past decade in the USA, the UK, Australia, and many other developed countries. However, its use in the developing nations and Asia has been sporadic. To the author's knowledge, there is to date, no published literature on the use and impact of clinical pathways on the quality and cost of patient care in the Asian health care setting. This paper provides a qualitative account of the development and implementation of a clinical pathway programme (using the example of patients with uncomplicated acute myocardial infarction) in an acute care general hospital in Singapore. The paper concludes that clinical pathways, when implemented in the context of an acute care hospital, can result in improvements in the care delivery process.
引用
收藏
页码:403 / 412
页数:10
相关论文
共 26 条
[1]  
[Anonymous], MANAGING OUTCOMES CO
[2]   Impact of clinical pathways and practice guidelines on the management of acute exacerbations of bronchial asthma [J].
Bailey, R ;
Weingarten, S ;
Lewis, M ;
Mohsenifar, Z .
CHEST, 1998, 113 (01) :28-33
[3]   Impact of clinical pathways on hospital costs and early outcome after major vascular surgery [J].
Calligaro, KD ;
Dougherty, MJ ;
Raviola, CA ;
Musser, DJ ;
DeLaurentis, DA .
JOURNAL OF VASCULAR SURGERY, 1995, 22 (06) :649-660
[4]  
Cheah J, 1998, CLIN MANAGEMENT, V7, P78
[5]  
Cheah T. S., 1998, Annals Academy of Medicine Singapore, V27, P533
[6]  
Coffey R J, 1992, Qual Manag Health Care, V1, P45
[7]  
Crummer M B, 1993, J Cardiovasc Nurs, V7, P30
[8]  
Falconer J A, 1993, QRB Qual Rev Bull, V19, P8
[9]  
Farley K, 1995, Qual Manag Health Care, V3, P43
[10]   Development and implementation of a clinical pathway for patients undergoing total laryngectomy -: Impact on cost and quality of care [J].
Hanna, E ;
Schultz, S ;
Doctor, D ;
Vural, E ;
Stern, S ;
Suen, J .
ARCHIVES OF OTOLARYNGOLOGY-HEAD & NECK SURGERY, 1999, 125 (11) :1247-1251