Current Reasons for Not Using Clinical Pathways in Practice

Sariyar, Murat; Bürkle, Thomas; Lehmann, Michael; Holm, Jürgen (2019). Current Reasons for Not Using Clinical Pathways in Practice Studies in health technology and informatics, 259, pp. 25-30. IOS Press 10.3233/978-1-61499-961-4-25

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Clinical pathways are often promoted as the holy grail of efficient healthcare provision. However, our experiences during the Swiss research project Hospital of the Future demonstrated that most Swiss hospitals do not implement clinical pathways in the sense of '… a document describing the common process of a multidisciplinary treatment for a particular type of patient'. In this paper, we will discuss reasons for the lack of pathway implementations. We differentiate between three different categories of explanations: (i) organization-specific impediments, (ii) environmental hurdles, and (iii) inherent problems of clinical pathways. Without additional support and regulation by the policy maker, it seems rather unlikely that an increase of pathway implementations will take place in the near-future in Switzerland.

Item Type:

Journal Article (Original Article)

Division/Institute:

Engineering and Information Technology > Institut für Medizininformatik I4MI

Name:

Sariyar, Murat;
Bürkle, Thomas;
Lehmann, Michael0000-0001-9161-5112 and
Holm, Jürgen

ISSN:

1879-8365

Publisher:

IOS Press

Language:

English

Submitter:

Lea Meier

Date Deposited:

14 Dec 2020 12:03

Last Modified:

14 Dec 2020 12:03

Publisher DOI:

10.3233/978-1-61499-961-4-25

PubMed ID:

30923267

Uncontrolled Keywords:

Clinical pathway guidelines process-orientation

ARBOR DOI:

10.24451/arbor.13268

URI:

https://arbor.bfh.ch/id/eprint/13268

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