Clinical Pathway – To Follow or Not to Follow

Päivi Ovaskainen, Jouni Alin, Seija Arve, Reima Suomi, Pirkko Nykänen

Research output: Chapter in Book/Report/Conference proceedingConference contributionScientificpeer-review

Abstract

Rationale, aims and objectives: Clinical Pathways are expected to make health care delivery more efficient and effective. Yet we have very little research on how Clinical Pathways are followed. This study assesses the functioning of a Clinical Pathway for elderly people in a Finnish case. At the same time it documents the hardships of getting information on the patient flows in a Clinical Pathway. Method: The data on all patients aged 75 years or more who had visited the emergency unit of the city hospital in 2006–2008 was collected. The study sample comprised 24,195 admissions. The flow of patients after the first care at the emergency unit was analyzed, collecting data from various scattered sources. Results: The results show that the planned Patient Pathways seem not to be followed always. Yearly about 17% of the patients were referred to the university hospital, the more expensive care, but about 74% of these referrals did not follow the agreed procedure. The excess costs of referring patients to a non-standard, more expensive Clinical Pathway were 2,57 Million Euros over a period of three years for the studied population of 24,195 admissions, also averaging 106 Euros per admission. Conclusion: Clinical Pathways were not followed in the case as planned and expected. Reasons for this should be better understood and studied in more depth. In addition, follow-up information of Clinical Pathway flows is often hard to collect because of fragmented information systems, that are not designed to document patient flows in Clinical Pathways.

Original languageEnglish
Title of host publicationProceedings of the 15th IADIS International Conference Information Systems 2022, IS 2022
EditorsMiguel Baptista Nunes, Pedro Isaias, Philip Powell, Luis Rodrigues
Pages186-196
Number of pages11
ISBN (Electronic)9789898704375
Publication statusPublished - 2022
Publication typeA4 Article in conference proceedings
EventIADIS International Conference Information Systems -
Duration: 12 Mar 202214 Mar 2022

Publication series

NameProceedings of the 15th IADIS International Conference Information Systems 2022, IS 2022

Conference

ConferenceIADIS International Conference Information Systems
Period12/03/2214/03/22

Keywords

  • Aged Patients
  • Clinical Pathways
  • Health Care
  • Information Systems

Publication forum classification

  • Publication forum level 0

ASJC Scopus subject areas

  • Computer Science Applications
  • Hardware and Architecture
  • Information Systems
  • Software

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