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Analysis and evaluation of clinical pathways in china
Wei Xu1, Zhiyong Wang, Yanxin Zhu
1Department of Medical Informatics, Second Military Medical University, Shanghai, China.
Studies in Health Technology and Informatics
|August 8, 2013
Summary
China
Area of Science:
- Health Informatics
- Clinical Pathway Development
- Healthcare Management
Background:
- Standard Clinical Pathways (CPs) are crucial for consistent patient care.
- Evaluating existing CPs is essential for identifying areas of improvement.
- The adoption of electronic Clinical Pathways (eCPs) necessitates updated evaluation frameworks.
Purpose of the Study:
- To evaluate China's Standard Clinical Pathways (CPs) against established criteria.
- To identify limitations in current Chinese CPs for electronic implementation.
- To propose recommendations for enhancing future CP revisions.
Main Methods:
- A comprehensive review of Standard Clinical Pathways in China.
- Evaluation using a defined CP evaluation framework.
- Assessment against standard functions for electronic Clinical Pathways (eCPs).
Main Results:
- Chinese Standard CPs generally meet evaluation criteria and eCP functions.
- Identified issues include limitations in recording, editing, and statistical analysis.
- Current CPs are primarily paper-based and not optimized for digital environments.
Conclusions:
- Standard Clinical Pathways in China require significant updates for digital integration.
- Recommendations include standardizing checklist item representations and developing variance codes.
- Future revisions should focus on modeling, templating, and digital applicability.
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