Integrated care pathways: disease-specific or process-specific?

Clin Med (Lond). 2004 Mar-Apr;4(2):132-5. doi: 10.7861/clinmedicine.4-2-132.

Abstract

Background/aim: conventional teaching on integrated care pathways (ICP) suggests that they have to be specific both to a particular setting and to a specific diagnosis. We wished to explore the potential for a generic process-based care pathway.

Study design: we evaluated three different, disease-specific ICPs in use on a neurological rehabilitation unit to identify prompts common to and differing between them. Variance types and goal outcomes in all three diagnostic groups were compared.

Results: 93% of prompts on the care pathway were common to all three diagnostic groups. The prompts that differed were unique to each diagnostic group and provided important guidelines about management.

Conclusion: in neurorehabilitation, where the process of multidisciplinary care is well defined, it is possible to develop a process-based ICP. Process-based ICPs may not be unique to rehabilitation but may also be relevant to other settings in which patients with differing diagnoses share similar needs.

Publication types

  • Comparative Study
  • Evaluation Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Critical Pathways*
  • Delivery of Health Care, Integrated*
  • Female
  • Goals
  • Humans
  • Length of Stay
  • Male
  • Middle Aged
  • Multiple Sclerosis / rehabilitation*
  • Spinal Diseases / rehabilitation*
  • Stroke Rehabilitation*
  • Treatment Outcome