Narrowing the gap between organisational demands and the quest for patient involvement: The case for coordinated care pathways

@article{Faber2014NarrowingTG,
  title={Narrowing the gap between organisational demands and the quest for patient involvement: The case for coordinated care pathways},
  author={Marjan J. Faber and Stuart W. Grande and Hub C. H. Wollersheim and Rosella Hermens and Glyn Elwyn},
  journal={International Journal of Care Coordination},
  year={2014},
  volume={17},
  pages={72 - 78}
}
To improve healthcare, we currently observe two major developments. On the one hand, there is an increasing emphasis on including the patients’ perspective, for example in treatment decision making, during development of clinical guidelines and evaluation of care delivery services. On the other hand, healthcare providers are moving towards evidence-based care and standardising operating procedures, exemplified by the development of documented coordinated care pathways. These pathways typically… 

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References

SHOWING 1-10 OF 49 REFERENCES

Development of a patient-centred care pathway across healthcare providers: a qualitative study

Disease-based care pathways for older patients were found to be neither feasible nor sustainable in primary care and a common patient-centred care pathway that could meet the needs of multi- morbid patients was recommended.

An overview on the history and concept of care pathways as complex interventions

An overview on the history of pathways and how pathways are actually perceived and defined is provided to provide an extensive list of references that should support pathway facilitators, clinicians, managers and policy-makers in their search for excellence.

Patient-centered performance management: enhancing value for patients and health care systems.

The current focus on “one-size-fits-all” guidelines and performance measures discount key commitments to personalizing care based on individual risks and preferences, even to the point of promoting unnecessary and harmful treatment.

Systematic review of involving patients in the planning and development of health care

Evidence supports the notion that involving patients has contributed to changes in the provision of services across a range of different settings, and an evidence base for the effects on use of services, quality of care, satisfaction, or health of patients does not exist.

Clinical practice guidelines and patient decision aids. An inevitable relationship.

Methodological standards and patient-centeredness in comparative effectiveness research: the PCORI perspective.

The Methodology Committee is charged to develop methodological standards for PCOR, intended to enable generation of information that is relevant and trustworthy for patients, and to enable decisions that improve patient-centered outcomes.

What is a clinical pathway? Development of a definition to inform the debate

The criteria used for the identification of relevant studies for this Cochrane Review can be used as a foundation for the development of a standardised, internationally accepted definition of a clinical pathway.

Involving patients in setting priorities for healthcare improvement: a cluster randomized trial

Patient involvement can change priorities driving healthcare improvement at the population level at the community level, and its impact on patient care is tested.

A cost-effectiveness study of a patient-centred integrated care pathway.

The application of an integrated care pathway with individualized care appears to enhance both rehabilitation outcomes and cost-effectiveness.

Development of guideline-based indicators for patient-centredness in fertility care: what patients add.

Most quality indicators for patient-centredness could be used for monitoring and improving the quality of fertility care internationally, occasionally by a more broad interpretation by replacing the general practitioners with other healthcare professionals engaged in the care process.