In this paper, we give a simple proof and some generalizations of results in
Falset, Llorens-Fuster, Marino, and Rugiano (2016).Comment: 8 page

Deborah Seys

Kris Vanhaecht

Liz Van der Veken

Luk Bruyneel

Massimiliano Panella

Ruben van Zelm

Seval Kul

Svin Deneckere

Walter Sermeus

English

arXiv

An increased need for efficiency and effectiveness in today's healthcare system urges professionals to improve the organization of care. Care pathways are an important tool to achieve this. The overall aim of this study was to analyze if care pathways lead to better organization of care processes. For this, the Care Process Self-Evaluation tool (CPSET) was used to evaluate how healthcare professionals perceive the organization of care processes. Based on information from 2692 health care professionals gathered between November 2007 and October 2011 we audited 261 care processes in 108 organizations. Multilevel analysis was used to compare care processes without and with care pathways and analyze if care pathways led to better organization of care processes. A significant difference between care processes with and without care pathways was found. A care pathway in use led to significant better scores on the overall CPSET scale (p<0.001) and its subscales, "coordination of care" (p<0.001) and "follow-up of care" (p<0.001). Physicians had the highest score on the overall CPSET scale and the five subscales. Care processes organized by care pathways had a 2.6 times higher probability that the care process was well-organized. In around 75% of the cases a care pathway led to better organized care processes. Care processes supported by care pathways were better organized, but not all care pathways were well-organized. Managers can use care pathways to make healthcare professionals more aware of their role in the organization of the care process

Directory of Open Access Journals

PLoS ONE

Better organized care via care pathways: A multicenter study.

Seys, Deborah

Bruyneel, Luk

Deneckere, Svin

Kul, Seval

Van Der Veken, Liz

Van Zelm, Ruben

Sermeus, Walter

Vanhaecht, Kris

PANELLA, Massimiliano

Archivio Istituzionale della Ricerca- Università del Piemonte Orientale

Better organized care via care pathways: A multicenter study

<div><p>An increased need for efficiency and effectiveness in today’s healthcare system urges professionals to improve the organization of care. Care pathways are an important tool to achieve this. The overall aim of this study was to analyze if care pathways lead to better organization of care processes. For this, the Care Process Self-Evaluation tool (CPSET) was used to evaluate how healthcare professionals perceive the organization of care processes. Based on information from 2692 health care professionals gathered between November 2007 and October 2011 we audited 261 care processes in 108 organizations. Multilevel analysis was used to compare care processes without and with care pathways and analyze if care pathways led to better organization of care processes. A significant difference between care processes with and without care pathways was found. A care pathway in use led to significant better scores on the overall CPSET scale (p<0.001) and its subscales, “coordination of care” (p<0.001) and “follow-up of care” (p<0.001). Physicians had the highest score on the overall CPSET scale and the five subscales. Care processes organized by care pathways had a 2.6 times higher probability that the care process was well-organized. In around 75% of the cases a care pathway led to better organized care processes. Care processes supported by care pathways were better organized, but not all care pathways were well-organized. Managers can use care pathways to make healthcare professionals more aware of their role in the organization of the care process.</p></div

Deborah Seys (4220962)

Luk Bruyneel (4220959)

Svin Deneckere (4220956)

Seval Kul (4220953)

Liz Van der Veken (4220947)

Ruben van Zelm (4220950)

Walter Sermeus (478152)

Massimiliano Panella (38630)

Kris Vanhaecht (2610844)

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