Clinical Pathway Comparison System
Date Issued
2013
Date
2013
Author(s)
Yu, Hwan-Jeu
Abstract
Clinical pathway is one of the ways to assure quality of health care by following common diagnostic and therapeutic procedures in clinical practice. How to effectively collect clinical pathways of different care providers and determine methods to compare them can be a problem.
The objective of this study was to develop a clinical pathway comparison system for physicians and care provider management to conveniently identify the similarity and difference among hospitals and help improve their health care quality.
Two approaches were designed. One was physician order category-based, which was designed to compare different format clinical pathways from different health care systems. Another one was frequent physician order set oriented, which was designed to compare the frequent physician order sets derived from the evidence records of National Health Insurance Research Database (NHIRD) in Taiwan.
The first approach has been used to compare the hepatocellular carcinoma (HCC) surgical clinical pathways of Taiwan and Mongolia—resulting in differences of antibiotics and anti-pain being found, for which possible causes were discussed. Another approach showed that low recurrence rate associated with high consistency frequent physician order adherence. A consistency index 70% was found to be seen as a reference benchmark to pursue.
Subjects
臨床路徑
醫令集
比較
Type
thesis
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