PMID: 26799125Jan 23, 2016Paper

Care pathways in US healthcare settings: current successes and limitations, and future challenges

The American Journal of Managed Care
Anita ChawlaRobert Dubois

Abstract

Care pathways are used widely in US healthcare settings and are expected to have greater influence on quality of care and patient outcomes in the future. We conducted qualitative research to evaluate the state of care pathways and their impact in the United States. Targeted literature review followed by an online survey and in-person interviews. The PubMed and Cochrane databases were searched for publications on care pathways (January 1, 2005, to July 21, 2014) to inform the subsequent surveys and interviews with payers, providers, and pathway vendors regarding care pathway design, development, and management. A targeted hand search was completed in May 2015 to supplement the earlier review. Twenty-nine publications, posters, or abstracts on specific care pathways were identified; the online survey and follow-up interviews included 26 and 18 respondents, respectively. Positive trends in current care pathways development and implementation include prioritization of high-quality evidence, enhancing the role of providers in development and implementation, and flexibility for providers to tailor treatment decisions to patients' needs. Nevertheless, there are some limitations in methodology for development and implementation, in cri...Continue Reading

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