Implementing online evidence-based care pathways: A mixed-methods study across primary and secondary care

Area of Science:

• Health Services Research
• Digital Health Implementation
• Primary and Secondary Care Integration

Background:

• Localised, online care pathways aim to improve care coordination.
• Understanding implementation factors is crucial for effective adoption in healthcare settings.

Purpose of the Study:

• To investigate contextual influences, mechanisms, and outcomes affecting the implementation and use of HealthPathways.
• To identify facilitators and barriers to the adoption of online care pathways in primary and secondary care.

Main Methods:

• A mixed-methods design was employed over a 6-month period.
• Quantitative data (page views, conditions viewed) and qualitative data (interviews, focus groups) were collected.
• Analysis involved thematic analysis using NVivo software.

Main Results:

• Pathway usage significantly increased over the study period.
• Key themes identified include leadership engagement, established networks, system development, decision support, and resource availability.
• These themes were configured into contextual influences, mechanisms, and outcomes.

Conclusions:

• Early implementation of HealthPathways shows promising increases in use.
• Factors like leadership and system integration are vital for successful adoption.
• Further research with diverse stakeholders is recommended to refine future developments.