THE IMPACT OF CLINICAL PATHWAY TO EFFECTIVENESS OF PATIENT CARE IN CURRENT MEDICAL PRACTICE IN HOSPITAL: A LITERATURE REVIEW
Abstract
Background: Clinical pathway is an effective way to maximize patient outcomes by organize and standardize care processes. Clinical pathway bring impact to the patient treatment and the quality of care in hospital. This study aims to examine the impact of clinical pathway in effectiveness of patient treatment in hospital.
Methods: This study was a literature review used PRISMA guidelines. Data obtained from electronic journal database ProQuest that published from January to December 2018 and used English or Indonesia language. The keywords of clinical pathway, care pathway, length of stay and mortality had been used to find relevant journal.
Results: The search of electronic journal database found 1,937 articles. Articles that were not suitable with inclusion criteria must be excluded. Totally, 6 articles were relevant for this study. The 6 articles were conducted in USA, Belgium, Australia, India, and China. The analyzed from these articles showed that clinical pathway gave positive impact to the length of stay and patient outcome in the hospital if the resources of the hospital were ready to implement clinical pathway.
Conclusion: Clinical pathway reduced the length of stay, improved the patient outcome, and reduced the mortality rate in hospital. To get the maximum benefit for implementing clinical pathway, the hospital must be prepared the environment and resources first before implementing clinical pathway.
Keywords: clinical pathway, care pathway, patient outcome, length of stay
Downloads
References
Hipp R, Abel E, Weber RJ. A Primer on Clinical Pathways. Hosp Pharm [Internet]. 2016 [cited 2019 May 25];51(5):416–421. Available from: https://www.researchgate.net/publication/303394897_A_Primer_on_Clinical_Pathways DOI:10.1310/hpj5105-416
Kinsman L, Rotter T, James E, Snow P, Willis J. What is a clinical pathway? development of a definition to inform the debate. BMC Medicine [Internet]. 2010 [cited 2019 May 25];8;31. Available from: http://remote-lib.ui.ac.id:2090/10.1186/1741-7015-8-31
Bottle A, Middleton S, Kalkman CJ, Livingston EH, Aylin P. Global Comparators Project: International Comparison of Hospital Outcomes Using Administrative Data. Health services research [Internet]. 2013 [cited 2019 May 25];48(6). Available from: https://www.researchgate.net/publication/237068370_Global_Comparators_Project_International_Comparison_of_Hospital_Outco mes_Using_Administrative_Data doi:10.1111/1475-6773.12074.
TNP2K. Program Jaminan Kesehatan Nasional (JKN) Diluncurkan 1 Januari 2014 - Program Jaminan Kesehatan Nasional (JKN) Diluncurkan 1 Januari 2014. TNP2K [Internet]. 2014 [cited 2019 June 19]. Available from: http://www.tnp2k.go.id/articles/program- jaminan-kesehatan-nasional-jkn-diluncurkan-1-januari-2014.
Humas BPJS Kesehatan. Dewan Pengawas BPJS Kesehatan dan Komisi IX Bahas Solusi Sustainibilitas Program JKN-KIS. BPJS Kesehatan [Internet]. 2018 [cited 2019 June 19]. Available from: https://www.bpjs- kesehatan.go.id/bpjs/index.php/post/read/2018/731/Dewan- global comparator project international comparison Pengawas-BPJS- Kesehatan-dan-Komisi-IX-Bahas-Solusi-Sustainibilitas-Program-JKN-KIS.
Djasri H. Peran Clinical Pathway dalam JKN: Presented in INA-CBG Workshop. IMRS-PERSI [Internet]. 2013 [cited 2019 June 19]. Available from: http://www.pdpersi.co.id/kegiatan/bahan_diskusi/ina_cbg/4.peran_clinical_pathway.pdf
Anyouzoa, J. M. Impact of the implementation of the croup clinical standard work pathway in the urgent care and emergency department settings in an academic pediatric center (Order No. 10828909). Available from ProQuest Dissertations & Theses Global [Internet]. 2018 [cited 2019 May 25] (2083946026). Available from: https://remote- lib.ui.ac.id:2155/docview/2083946026?accountid=17242
Ovaere S, Boscart I, Parmentier I, Steelant PJ, Gabriel T, Allewaert J et al. The effectiveness of a clinical pathway in liver surgery: A case-control study. Journal of Gastrointestinal Surgery [Internet]. 2018 [cited 2019 May 25];22(4);684-694. Available from:http://remote-lib.ui.ac.id:2090/10.1007/s11605-017-3653-1
Ronellenfitsch U, Rössner E, Jakob J, Post S, Hohenberger P, Schwarzbach M. Clinical Pathways in surgery - Should we introduce them into clinical routine? A review article. Langenbeck's archives of surgery / Deutsche Gesellschaft für Chirurgie [Internet]. 2008 [cited 2019 May 25];393;449-57. Available From: https://www.researchgate.net/publication/5555518_Clinical_Pathways_in_surgery_-_Should_we_introduce_them_into_clinical_routine_A_review_article doi:10.1007/s00423-008-0303-9.
GerardRR,KielhornBA,PetersenB,MullardAJ,&McCahillLE.Post-operativemanagementofperforatedappendicitis:Canclinical pathways improve outcomes? The American Journal of Surgery [Internet]. 2018 [cited 2019 May 25];215(4);593-598. Available from:http://remote-lib.ui.ac.id:2090/10.1016/j.amjsurg.2017.06.003
Thursky K, Lingaratnam S, Jayarajan J, Haeusler GM, Teh B, Tew M et al. Implementation of a whole of hospital sepsis clinical pathway in a cancer hospital: Impact on sepsis management, outcomes and costs. BMJ Open Quality [Internet]. 2018 [cited 2019 May 25];7(3). Available from: http://remote-lib.ui.ac.id:2090/10.1136/bmjoq-2018-000355
Mohsina S, Shanmugam D, Sureshkumar S, Kundra P, Mahalakshmy T, Vikram K. Adapted ERAS pathway vs. standard care in patients with perforated duodenal Ulcer”a randomized controlled trial. Journal of Gastrointestinal Surgery [Internet]. 2018 [cited 2019 June 25];22(1);107-116. Available from:http://remote-lib.ui.ac.id:2090/10.1007/s11605-017-3474-2
Peng J, Zhang M, Yu P, Wang N. Can single disease payment system based on clinical pathway reduce hospitalization costs in rural area? A case study of uterine leiomyoma in anhui, china. BMC Health Services Research [Internet]. 2018 [cited 2019 June 19];18. Available from:http://remote-lib.ui.ac.id:2090/10.1186/s12913-018-3807-1
McConnell T, O'Halloran P, Donnelly M, Porter S. Factors affecting the successful implementation and sustainability of the Liverpool Care Pathway for dying patients: A realist evaluation. BMJ supportive & palliative care [Internet]. 2014 [cited 2019 May 25];5. Available from: https://www.researchgate.net/publication/268081042_Factors_affecting_the_successful_implementation_and_sustainability_of_the _Liverpool_Care_Pathway_for_dying_patients_A_realist_evaluation doi:10.1136/bmjspcare-2014-000723.
Downloads
Published
Issue
Section
License
Copyright (c) 2022 Each author(s) agree to transfer all copyrights and assign YAYASAN ALIANSI CENDEKIAWAN INDONESIA THAILAND, the Publisher of Proceedings of the International Conference on Applied Science and Health, for the full term of exclusive copyright and any extensions or renewals of that terms thereof throughout the world, including but not limited to publish, disseminate, transmit, store, translate, distribute, sell, republish and use the Contribution and material contained therein in print and electronic form of the journal and in other derivative works, in all languages and any form of media of expression available now or in the future and to license or permit others to do so.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Proceedings of the International Conference on Applied Science and Health is an open access following Creative Commons License Deed – Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0). Users are allowed to copy and redistribute the material in any medium or format as well as remix, transform, and build upon the material with one condition--appropriate credit is given to the journal.
