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Defining pathways.

Leentje De Bleser1, Roeland Depreitere, Katrijn De Waele

  • 1Center for Health Services and Nursing Research, Katholieke Universiteit Leuven, Leuven, Belgium.

Journal of Nursing Management
|September 29, 2006
PubMed
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Clinical pathways lack a universal definition, leading to confusion in healthcare. This study analyzed 84 definitions to identify key characteristics and establish a clearer understanding of patient care management tools.

Area of Science:

  • Healthcare Management
  • Clinical Informatics
  • Patient Care Coordination

Background:

  • Clinical pathways are internationally recognized healthcare management tools.
  • Significant variations exist in the development, purpose, and terminology of clinical pathways globally, particularly between the UK and USA.
  • The lack of a single, widely accepted definition creates confusion in the healthcare sector.

Purpose of the Study:

  • To survey existing definitions of clinical pathways.
  • To identify and derive the key characteristics of clinical pathways.
  • To address the definitional ambiguity surrounding clinical pathways.

Main Methods:

  • A literature review was conducted using PubMed, searching for terms like 'critical pathway' and 'clinical pathway' from January 2000 to December 2003.

Related Experiment Videos

  • Eligible articles were identified based on their use of the Medical Subject Headings definition of the concept.
  • The concept analysis method was employed to assess and rephrase the definitions found.
  • Main Results:

    • Out of 263 eligible articles, 82 provided a definition for clinical pathways.
    • A total of 84 distinct definitions were identified.
    • Definitions were systematically rephrased, categorizing features into nouns, characteristics, aims, and outcomes.

    Conclusions:

    • A clinical pathway is defined as a patient-care management method for specific patient groups over defined periods.
    • It integrates Evidence-Based Medicine (EBM), best practices, and patient expectations to guide multidisciplinary teams.
    • The primary aims are to enhance care quality, reduce risks, improve patient satisfaction, and optimize resource efficiency.