Vpliv (integriranih) kliničnih poti na izide zdravstvene obravnave
sistematičen pregled literature
Ključne besede:
zdravstveno varstvo, kakovost zdravstvene obravnave, klinične poti, izidi zdravstvene obravnave, integrirana oskrba.Povzetek
Klinične poti so prepoznane kot orodje za zagotavljanje kakovosti zdravstvene obravnave pacientov. Predstavljajo standardizacijo zdravstvenih procesov za podporo izvajanju kliničnih smernic in protokolov. Cilj raziskave je bil podati pregled obstoječe znanstvene literature in identificirati vpliv (integriranih) kliničnih poti na izide zdravstvene obravnave. Raziskava temelji na pregledu literature, ki je bila objavljena od leta 2010 do leta 2020, za identifikacijo, izbiro in kritično oceno vseh ustreznih študij. Izvedena je v okviru aplikativnega projekta Vpliv integriranih kliničnih poti na izide pacientov, komuniciranje in stroškovno učinkovitost (L7-2631). V vsebinsko analizo je bilo vključenih 35 člankov. Skupno je bilo prepoznanih 25 področij, kjer obstajajo dokazi o pozitivnem vplivu kliničnih poti na izide zdravstvene obravnave, najpogosteje glede zmanjšanja števila komplikacij in varnostnih odklonov, skrajšanja dolžine hospitalizacije in izboljšanja kliničnih izidov zdravljenja pri pacientu, ob tem pa pride še do zmanjševanja stroškov. Na 8 področjih izmed teh obstajajo znanstveni dokazi o negativnem vplivu, na 6 področjih pa, da klinične poti niso imele vpliva na izide zdravstvene obravnave. Znanstvenih dokazov o vplivu integriranih kliničnih poti na izide zdravstvene obravnave pacientov je malo.
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