Integrated care pathways: pathways to change in health care?

2007 ◽  
Vol 21 (3) ◽  
pp. 297-306 ◽  
Author(s):  
Claire Whittle ◽  
Alistair Hewison
Keyword(s):  
Health Care ◽  
Integrated Care ◽  
Care Pathways ◽  
Integrated Care Pathways

Attitudes towards Integrated Care Pathways in the UK NHS: A Pilot Study in One UK NHS Trust

2005 ◽  
Vol 9 (1) ◽  
pp. 13-20 ◽  
Author(s):  
Dianne Parker ◽  
Tanya Claridge ◽  
Gary Cook
Keyword(s):  
Health Care ◽  
Integrated Care ◽  
Health Care Professionals ◽  
Systematic Investigation ◽  
Care Practice ◽  
Care Pathways ◽  
Junior Staff ◽  
Positive Attitudes ◽  
Integrated Care Pathways ◽  
The Uk

Background: Integrated care pathways (ICPs) offer an increasingly common approach to the standardization and integration of health-care practice in hospitals. The questionnaire study reported here was the final phase in a systematic investigation of the attitudes of health-care professionals towards ICPs in one acute UK NHS Trust. Method: A total of 314 health-care professionals working in a medium-sized NHS hospital in the UK completed a survey questionnaire, representing 34% of those approached. Results: Ten dimensions of attitude to ICPs were uncovered. Junior staff had less positive attitudes than senior staff on all dimensions. Across all professional groups (doctors, nurses, professions allied to medicine), staff were more unhappy with the idea of ICPs than with the evidence they are based on or the quality of the documentation itself. Conclusions: The investigation provided information about how widespread the dislike of ICPs was in the Trust and details of what was giving rise to staff unease. This enabled the authors to make recommendations to the Trust about the future development and implementation of ICPs in the Trust. The most central of these was that investing time and effort in changing the presentation of ICPs will not meet with success until more fundamental aspects of staff unease have been addressed. Overall, respondents from this Trust felt uneasy about ICPs because they do not like the idea of being told what to do. Therefore, if the ICP development programme is to continue at this hospital and be successful, the hearts and minds of those expected to use ICPs must be won over.

The Care Process Organization Triangle: A Framework to Better Understand how Clinical Pathways Work

2007 ◽  
Vol 11 (2) ◽  
pp. 54-61 ◽  
Author(s):  
Kris Vanhaecht ◽  
Karel de Witte ◽  
Walter Sermeus
Keyword(s):  
Health Care ◽  
Integrated Care ◽  
Care Management ◽  
Clinical Pathways ◽  
Health Care Management ◽  
Care Process ◽  
Care Pathways ◽  
Patient Needs ◽  
Care Processes ◽  
Integrated Care Pathways

Clinical pathways, also known as care pathways or integrated care pathways, are used worldwide to make care processes transparent and organize care around patient needs. Although this is in international use, it is still unclear why pathways sometimes work and sometimes do not. To better understand how pathways work, there is a growing need for paradigms or organizing concepts. Different quality and health-care management gurus have developed frameworks to better understand how certain processes or methods work. This paper will provide an overview of several frameworks and integrate them into Donabedian's Structure–Process–Outcome configuration. In view of this configuration, the care process organization triangle was developed. In this paper, we will describe the three cornerstones of this triangle by integrating the literature on clinical pathways. The care process organization triangle is only one model, but as Deming described it: ‘Some models can be quite useful’.

scholarly journals Integrated Care Pathways and The Aortovascular Hub

2021 ◽  
Author(s):  
Mark Field ◽  
Manoj Kuduvalli ◽  
Francesco Torella ◽  
Victoria McKay ◽  
Afshin Khalatbari ◽  
...  
Keyword(s):  
Health Care ◽  
Integrated Care ◽  
Health Care Providers ◽  
Care Pathways ◽  
Vascular Health ◽  
The Novel ◽  
Care Providers ◽  
Allied Health Care ◽  
Integrated Care Pathways ◽  
Clinical Concept

Aortovascular medicine and surgery in relation to vascular health of the population requires input from a broad range of specialists and institutions throughout a patient life as well as integration with allied health care providers. This paper presents the essence of the novel clinical concept of the ‘Aortovascular Hub’ .

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