Impact of (Integrated) Clinical Pathways on Health Care Results
a Systematic Review of the Literature
Keywords:
health care, quality of health care, clinical pathways, outcomes of health care, integrated careAbstract
Clinical pathways are recognized as a tool for ensuring the quality of health care for patients. They represent the standardization of healthcare processes to support the implementation of clinical guidelines and protocols. The aim of the study was to provide a review of the existing scientific literature and to identify the impact of (integrated) clinical pathways on healthcare outcomes. The study is based on a literature search to identify, select, and critically appraise all relevant studies from 2010 to 2020, conducted as part of the Impact of integrated clinical pathways on patient outcomes, communication and cost-effectiveness (L7-2631) application project. 35 articles were included in the content analysis. In total, 25 domains were identified where a positive impact of clinical pathways on healthcare outcomes could be demonstrated; most commonly in terms of reducing the number of complications and safety incidents, shortening the length of stay in hospital, and improving clinical treatment outcomes for patients while reducing costs. In 8 areas of these there is scientific evidence of a negative impact, and in 6 areas clinical pathways had no impact on healthcare outcomes. There is little scientific evidence of the impact of integrated clinical pathways on patient outcomes.
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