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Journal articles on the topic 'Pathways to care'

Author: Grafiati

Published: 29 June 2021

Last updated: 29 July 2025

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1

Launer, J. "Care pathways." Postgraduate Medical Journal 84, no. 993 (2008): 392. http://dx.doi.org/10.1136/pgmj.2008.072314.

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Panella, Massimiliano, Kris Vanhaecht, and Walter Sermeus. "Care pathways: from clinical pathways to care innovation." International Journal of Care Pathways 13, no. 2 (2009): 49–50. http://dx.doi.org/10.1258/jicp.2009.009014.

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3

Rosique, Ricard. "Do we need electronic support for pathways: the Spanish experience." International Journal of Care Pathways 13, no. 2 (2009): 67–74. http://dx.doi.org/10.1258/jicp.2009.009010.

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Care pathways are excellent tools for quality management in health care concerning the standardization of care processes, as they promote organized and efficient patient care established on evidence-based practice. The implementation of a care pathway project at any health-care setting means a change of the organizational culture. E-pathways (electronic pathways) are strategic resources in order to get the successful implementation of a care pathway project. The concept of e-pathway is recent enough and there are some different experiences worldwide. In 2000, the first electronic pathways were

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Whittle, Claire, and Alistair Hewison. "Integrated care pathways: pathways to change in health care?" Journal of Health Organization and Management 21, no. 3 (2007): 297–306. http://dx.doi.org/10.1108/14777260710751753.

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5

Mutalik, Narayan R. "Pathways to Psychiatric Care: A Hospital Based Study." Journal of Medical Science And clinical Research 05, no. 04 (2017): 20585–90. http://dx.doi.org/10.18535/jmscr/v5i4.138.

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6

Kingdon, D., and A. Gregoire. "Mental health care pathways." European Psychiatry 26, S2 (2011): 546. http://dx.doi.org/10.1016/s0924-9338(11)72253-2.

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IntroductionThe term, care pathway, has been used to describe multidisciplinary/ multi-agency outline of anticipated care, placed in an appropriate timeframe, to help a patient with a specific condition or set of symptoms move progressively through a clinical experience to positive outcomes. In practice, a multitude of disparate projects have produced outputs ranging from pages of interconnected boxes and arrows with rather basic entries to thick and indigestible wads of paper. Certainly the idea of a ‘mental health care pathway’ accessible and used by the general public, service users, carers

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7

Thompson, Juliana, Glenda Cook, Claire Masterman, Mark Parkinson, and Lesley Bainbridge. "Rapid evidence review to understand effective frailty care pathways and their components in primary and community care." International Journal of Health Governance 27, no. 1 (2021): 54–75. http://dx.doi.org/10.1108/ijhg-09-2021-0090.

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PurposeDifferent pathways of frailty care to prevent or delay progression of frailty and enable people to live well with frailty are emerging in primary and community care in the UK. The purpose of the study is to understand effective frailty care pathways and their components to inform future service development and pathway evaluation in primary- and community-care services.Design/methodology/approachA rapid evidence review was conducted: 11 research publications met the inclusion criteria and were analysed using narrative thematic synthesis.FindingsThere is strong evidence that resistance-ba

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Van Zelm, Ruben, and Claire Whittle. "Care Pathways 2010." International Journal of Care Pathways 14, no. 4 (2010): 161–62. http://dx.doi.org/10.1258/jicp.2010.010023.

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Campbell, H., R. Hotchkiss, N. Bradshaw, and M. Porteous. "Integrated care pathways." BMJ 316, no. 7125 (1998): 133–37. http://dx.doi.org/10.1136/bmj.316.7125.133.

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10

Laksiri, N., E. Robinet, G. Gautier, et al. "Stroke care pathways." Annals of Physical and Rehabilitation Medicine 57 (May 2014): e17. http://dx.doi.org/10.1016/j.rehab.2014.03.056.

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11

Hotchkiss, Rhona. "Integrated care pathways." NT Research 2, no. 1 (1997): 30–36. http://dx.doi.org/10.1177/136140969700200106.

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12

Kitchiner, D., and P. Bundred. "Integrated care pathways." Archives of Disease in Childhood 75, no. 2 (1996): 166–68. http://dx.doi.org/10.1136/adc.75.2.166.

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13

Mukherjee, Asish, Anthony J. Senagore, and Conor P. Delaney. "Postoperative Care Pathways." Seminars in Colon and Rectal Surgery 16, no. 4 (2005): 215–27. http://dx.doi.org/10.1053/j.scrs.2006.01.010.

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14

Bremen, Hanne-Eva van, Thamar Kroes, Lotta J. Seppala, et al. "Variability in Care Pathways for Hip Fracture Patients in The Netherlands." Journal of Clinical Medicine 13, no. 16 (2024): 4589. http://dx.doi.org/10.3390/jcm13164589.

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Background/Objectives: Integrated orthogeriatric care has demonstrated benefits in hip fracture management for older patients. Comprehensive care pathways are essential for effective integrated care delivery, yet local variability in care pathways persists. We assessed the current hip fracture care pathways in the Netherlands, focusing on the variability between these care pathways and the degree of implementation of orthogeriatric care. Methods: A nationwide inventory study was conducted. A survey was sent to all hospitals in the Netherlands to collect the care pathways or local protocols for

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15

Ellershaw, John, and Deborah Murphy. "The National Pathway Network of Palliative Care Pathways." Journal of integrated Care Pathways 7, no. 1 (2003): 11–13. http://dx.doi.org/10.1177/147322970300700104.

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Breckons, M., S. M. Bissett, C. Exley, V. Araujo-Soares, and J. Durham. "Care Pathways in Persistent Orofacial Pain." JDR Clinical & Translational Research 2, no. 1 (2016): 48–57. http://dx.doi.org/10.1177/2380084416679648.

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Persistent orofacial pain is relatively common and known to have an adverse effect on quality of life. Previous studies suggest that the current care pathway may be problematic, but it is not well understood which health services patients access and what their experience is. The aim of this study was to explore care pathways and their impact from the perspective of patients. Qualitative interviews were conducted with a maximum variation sample of patients recruited from primary (community based) and secondary (specialist hospital based) care in the United Kingdom. Questions focused on the stag

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17

Csik, Valerie Pracilio, Michael J. Ramirez, Adam F. Binder, and Nathan Handley. "The value of pathways on drug costs." Journal of Clinical Oncology 39, no. 28_suppl (2021): 327. http://dx.doi.org/10.1200/jco.2020.39.28_suppl.327.

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327 Background: Oncology care represents a significant portion of US healthcare spending. Cost of Part B drugs has increased at a rate 5.7x that of overall Medicare spending. As a participant in the Oncology Care Model, drug costs represent a majority of our total costs. Pathways are a clinical decision-support tool that use evidence-based care maps accounting for efficacy, toxicity and cost. Our NCI-designated cancer center implemented pathways in July 2018 to reduce care variation and decrease costs. Methods: We reviewed costs related to pathway utilization over a two year period, analyzing

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18

Toy, Jennifer M., Adam Drechsler, and Richard C. Waters. "Clinical pathways for primary care: current use, interest and perceived usability." Journal of the American Medical Informatics Association 25, no. 7 (2018): 901–6. http://dx.doi.org/10.1093/jamia/ocy010.

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Abstract Objective Translating clinical evidence to daily practice remains a challenge and may improve with clinical pathways. We assessed interest in and usability of clinical pathways by primary care professionals. Methods An online survey was created. Interest in pathways for patient care and learning was assessed at start and finish. Participants completed baseline questions then pathway-associated question sets related to management of 2 chronic diseases. Perceived pathway usability was assessed using the system usability scale. Accuracy and confidence of answers was compared for baseline

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Glass, Katherine, Chad W. Cummings, Marc A. Shapiro, Dennis Urbanek, and Brian James Bolwell. "Data collection for care pathways in the Cleveland Clinic Health System." Journal of Clinical Oncology 34, no. 7_suppl (2016): 115. http://dx.doi.org/10.1200/jco.2016.34.7_suppl.115.

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115 Background: Care pathways are established methods of reducing healthcare costs and disparities in oncology care. To demonstrate their impact, health systems must measure and report data on care pathway adherence and outcomes in near real-time. Automating data abstraction across a health system for oncology is difficult due to the amount and detail of data required. Manual abstraction of data is considered slow and costly. Many consider Electronic Medical Record (EMR) integration of care pathways essential in order to successfully implement and assess. Methods: 7 medical oncology care pathw

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Mavor, Meaghan E., Patti A. Groome, Yuka Asai, et al. "Characterising melanoma diagnostic pathways for patients in routine practice using administrative health data in Ontario, Canada: a population-based study." BMJ Open 15, no. 1 (2025): e086140. https://doi.org/10.1136/bmjopen-2024-086140.

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ObjectiveTo characterise diagnostic pathways for patients with melanoma in routine practice and compare patient, disease and diagnostic interval (DI) characteristics across pathways.DesignDescriptive cross-sectional study using administrative health data.SettingPopulation-based study in Ontario, Canada.ParticipantsPatients with melanoma diagnosed from 2007 to 2019.Main outcome measuresWe used latent class cluster analysis to create clusters of patients with similar diagnostic experiences to characterise diagnostic pathways in routine practice. Indicator variables characterised the patient’s ke

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21

Joosten, Tom C. M., Inge M. B. Bongers, and Ir Bert R. Meijboom. "Care programmes and integrated care pathways." International Journal of Health Care Quality Assurance 21, no. 5 (2008): 472–86. http://dx.doi.org/10.1108/09526860810890440.

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22

Rycroft-Malone, Jo, and Debra Bick. "Standardising care using integrated care pathways." International Journal of Evidence-Based Healthcare 7, no. 2 (2009): 59–60. http://dx.doi.org/10.1111/j.1744-1609.2009.00126.x.

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23

Portman, Diane G., and Sarah Thirlwell. "Pathways, partners and payers: The trifecta of palliative care integration." Journal of Clinical Oncology 33, no. 29_suppl (2015): 129. http://dx.doi.org/10.1200/jco.2015.33.29_suppl.129.

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129 Background: Moffitt Cancer Center has developed proprietary oncology clinical pathways. Multiple external partnership agreements which require adoption of these pathways have been completed. Our Center has enacted new cancer care delivery and payment arrangements with payers to foster cost and quality balance via use of the pathways and earlier involvement of palliative care (PC). Methods: Executive and PC leadership collaborated with the clinical pathways and strategic alliance teams to identify high priority disease states for integration of PC. Working with oncologist pathway developers

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24

Melby, Line, Kristine Gjermestad, Ingrid K. L. Solem, and Ragnhild Halvorsrud. "On track on the care pathway: Care coordination, information, and communication needs among Norwegian cancer patients." International Journal of Integrated Care 23, S1 (2023): 597. http://dx.doi.org/10.5334/ijic.icic23229.

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Background: Cancer patients may have long-lasting and complex care pathways. These typically involve a wide range of care providers who must coordinate their actions, so that treatment and follow up is experienced as seamless and integrated. Good communication with patients and providing them with the 'right amount' of information is crucial to ensure that patients feel engaged and empowered along the pathway.  The study: This paper reports from an ongoing research study ('Pathway') on the management of patient pathways in Norway, exemplified with cancer pathways. The project aims to giv

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25

Wells, Christine E., and Sarah J. Smith. "Diagnostic Care Pathways in Dementia." Journal of Primary Care & Community Health 8, no. 2 (2016): 103–11. http://dx.doi.org/10.1177/2150131916678715.

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Objectives: Increasing diagnostic rates of dementia is a national health priority; to meet this priority, improvement needs to be made to diagnostic services. It has been increasingly recognized that primary can play a significant role in the diagnostic journey for people with dementia, with some diagnostic services entirely located in primary care. This article reviews the extent of the involvement of primary care in diagnostic care pathways for people presenting with memory complaints within England, and presents examples of innovative approaches, which may be of interest to practitioners. M

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26

Agoubi, Lauren L., Nina M. Clark, Sarah Gibbs, et al. "Implementation evaluation of tiered tele-triage pathways for burn center consultations and transfers." Journal of Trauma and Acute Care Surgery 96, no. 3 (2023): 409–17. http://dx.doi.org/10.1097/ta.0000000000004202.

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BACKGROUND Early transfer to specialized centers improves trauma and burn outcomes; however, overtriage can result in unnecessary burdens to patients, providers, and health systems. Our institution developed novel burn triage pathways in 2016 to improve resource allocation. We evaluated the implementation of these pathways, analyzing trends in adoption, resource optimization, and pathway reliability after implementation. METHODS Triage pathways consist of transfer nurses (RNs) triaging calls based on review of burn images and clinical history: green pathway for direct outpatient referral, blue

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Prætorius, Thim. "Improving care coordination using organisational routines." Journal of Health Organization and Management 30, no. 1 (2016): 85–108. http://dx.doi.org/10.1108/jhom-07-2013-0141.

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Purpose – The purpose of this paper is to systematically apply theory of organisational routines to standardised care pathways. The explanatory power of routines is used to address open questions in the care pathway literature about their coordinating and organising role, the way they change and can be replicated, the way they are influenced by the organisation and the way they influence health care professionals. Design/methodology/approach – Theory of routines is systematically applied to care pathways in order to develop theoretically derived propositions. Findings – Care pathways mirror ro

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Skouw-Rasmussen, Naja, and Laura Savini. "Future Care Pathways – A report from the 1st workshop of the EHC Think Tank Workstream on Future Care Pathways." Journal of Haemophilia Practice 10, no. 1 (2023): 74–81. http://dx.doi.org/10.2478/jhp-2023-0013.

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Abstract Introduction A care pathway is defined as “a complex intervention for the mutual decision-making and organisation of care processes for a well-defined group of patients during a well-defined period.” The European Haemophilia Consortium (EHC) established a Think Tank Workstream on Future Care Pathways to identify and address key challenges in shaping future pathways that meet the needs of people with rare diseases while remaining practicable and affordable to healthcare providers in countries with different budgets and resources. This workstream is particularly timely as the introducti

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Vanhaecht, Kris, Massimiliano Panella, Ruben Van Zelm, and Walter Sermeus. "Is there a future for pathways? Five pieces of the puzzle." International Journal of Care Pathways 13, no. 2 (2009): 82–86. http://dx.doi.org/10.1258/jicp.2009.009013.

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In this discussion and opinion paper, the Bureau members of the European Pathway Association present five challenges for the future of care pathways. Pathways will have to be based on the latest available evidence and international databases, and tools will have to be available. If pathways have a future, the organisations should focus on disease-specific oriented care. Evidence-based pathways, which are organised in a disease-specific oriented organisation, can lead to improvement of quality and efficiency but only if we invest in real teamwork. As a fourth challenge, the need for technical s

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Ghildiyal, R., D. Kaur, and S. Ajinkya. "Pathways to Psychiatric Care." MGM Journal of Medical Sciences 1, no. 3 (2014): 132–33. http://dx.doi.org/10.5005/jp-journals-10036-1023.

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31

Moos, S. "Integrated Care Pathways 2005." International Journal of Care Pathways 9, no. 2 (2005): 92–95. http://dx.doi.org/10.1258/j.jicp.2005.100.

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32

Sue, M. "Integrated Care Pathways 2006." International Journal of Care Pathways 10, no. 2 (2006): 78–81. http://dx.doi.org/10.1258/j.jicp.2006.138.

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Tantam, Digby. "Pathways into adult care." Psychiatry 4, no. 9 (2005): 141–44. http://dx.doi.org/10.1383/psyt.2005.4.9.141.

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34

Strike, Carol, Anne E. Rhodes, Yvonne Bergmans, and Paul Links. "Fragmented Pathways to Care." Crisis 27, no. 1 (2006): 31–38. http://dx.doi.org/10.1027/0227-5910.27.1.31.

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Using qualitative methods, this study examined how, and under what circumstances, suicidal men used mental health services. In particular, the analyses focused on fragmented pathways to care. Fifteen men with a history of suicidal and aggressive behaviors and a diagnosis of borderline personality disorder and/or antisocial personality disorder participated in semistructured interviews that consisted of questions about their mental health status and experiences with mental health and addiction services. Interviews were taped and transcribed. An iterative, inductive qualitative analytic process

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35

Johnson, Sue. "Electronic Integrated Care Pathways." Journal of integrated Care Pathways 5, no. 2 (2001): 37–38. http://dx.doi.org/10.1177/147322970100500201.

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Ostler, Kevin. "Sharing Integrated Care Pathways." Journal of integrated Care Pathways 6, no. 1 (2002): 56. http://dx.doi.org/10.1177/147322970200600110.

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37

Moos, Sue. "Integrated Care Pathways 2005." Journal of integrated Care Pathways 9, no. 2 (2005): 92–95. http://dx.doi.org/10.1177/147322970500900210.

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38

Brunton, Paul. "Developing Clinical Care Pathways." Bulletin of the Royal College of Surgeons of England 94, no. 9 (2012): 315. http://dx.doi.org/10.1308/147363512x13448516926702.

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Clinical care pathways have existed for many years. Their origin is arguably in nursing and many will recall using a nursing care plan. Clinical care pathways are often denounced as 'tick-box' exercises as practitioners wrongly assume that they will result in a loss of clinical freedom. This is not the case; clinical care pathways do not seek to tell practitioners what to do, but to assist and support them in their decisions.

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39

Kisely, S., K. Howell, and J. Green. "Pathways to orthodontic care." Journal of Public Health 19, no. 2 (1997): 148–55. http://dx.doi.org/10.1093/oxfordjournals.pubmed.a024602.

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RASMUSSEN, NANCY, and TIM GENGLER. "Clinical Pathways of Care." Nursing 24, no. 2 (1994): 47–49. http://dx.doi.org/10.1097/00152193-199402000-00020.

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41

Snelson, Edward, Judith Gilchrist, and Neil Wright. "Unplanned paediatric care pathways." British Journal of Healthcare Management 15, no. 11 (2009): 549–56. http://dx.doi.org/10.12968/bjhc.2009.15.11.45019.

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42

van Zelm, Ruben, Claire Whittle, and Sue Hindle. "Care Pathways 2011: meeting the quality and productivity challenge through care pathways." International Journal of Care Pathways 15, no. 4 (2011): 130–31. http://dx.doi.org/10.1258/jicp.2011.011m28.

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Saragosa, Marianne, Evan MacEachern, and Michelle Nelson. "Dementia Care Pathways: A Comprehensive Scoping Review and Insights from Key Informant Interviews." International Journal of Integrated Care 25 (April 9, 2025): 38. https://doi.org/10.5334/ijic.icic24342.

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Background: Globally, with more than 55 million people affected by dementia and 10 million new cases yearly, dementia contributes to dependency among older people and has a global cost of 1.3 trillion USD in 2019. Affecting high rates of individuals worldwide, dementia causing medical-social complexity and economic burden is an ideal candidate for person-centred care pathways. To date, dementia care pathways have been developed as tools helping professionals to identify the most appropriate care pathway for a patient’s specific symptoms; however, we lack a comprehensive systematic review of cu

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Kalucy, Deanna, Janice Nixon, Michael Parvizian, et al. "Exploring pathways to mental healthcare for urban Aboriginal young people: a qualitative interview study." BMJ Open 9, no. 7 (2019): e025670. http://dx.doi.org/10.1136/bmjopen-2018-025670.

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ObjectivesTo explore the perceptions of Aboriginal Community Controlled Health Service (ACCHS) staff involved in providing mental healthcare to Aboriginal young people of the current and ideal pathways to mental healthcare for urban Aboriginal young people attending ACCHSs, and to identify what additional supports staff may need to provide optimal mental healthcare to Aboriginal young people.DesignQualitative interview study conducted during May 2016–2017.SettingPrimary care, at two ACCHSs participating in the Study of Environment on Aboriginal Resilience and Child Health in New South Wales.Pa

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45

DeMartino, Jessica K., and Jonathan K. Larsen. "Equity in Cancer Care: Pathways, Protocols, and Guidelines." Journal of the National Comprehensive Cancer Network 10, Suppl_1 (2012): S—1—S—9. http://dx.doi.org/10.6004/jnccn.2012.0164.

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The quality of patient care varies based on numerous factors, such as health care setting, geographic location, access to medications, insurance coverage, and treatment protocols. Recently, the issue of whether use of clinical pathways can reduce costs and inappropriate variability in care has been the subject of much debate. As clinical treatment guidelines and pathways are increasingly deployed in oncology practice, they have a growing impact on the quality of treatment and how it is delivered. To fulfill the current need to discuss the use of pathways and clinical treatment guidelines in on

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Kleiner, Hillary, and Francesca Pirog. "Clinical pathways: An emerging tool for quality improvement." Journal of Clinical Oncology 34, no. 7_suppl (2016): 222. http://dx.doi.org/10.1200/jco.2016.34.7_suppl.222.

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222 Background: Clinical pathways have emerged as a tool for payers to encourage provider adherence to evidence-based care. Avalere sought to understand how oncology pathways are incorporated into broader organizational quality improvement initiatives and what impact they have on care quality. Methods: Avalere conducted white and grey literature searches to assess pathways used in quality improvement initiatives. The research was augmented by interviews with leading pathways organizations. Results: Research suggests that pathways can play the following roles in quality improvement: Ensure Adhe

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Yelnik, A., G. Rode, P. Ribinik, et al. "Care pathways and care guides for PRM." Annals of Physical and Rehabilitation Medicine 54 (October 2011): e276. http://dx.doi.org/10.1016/j.rehab.2011.07.209.

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Petit-Steeghs, Violet, Tjerk Jan Schuitmaker-Warnaar, Ciska A. Pruijssers, Gerard van Oortmerssen, and Jacqueline EW Broerse. "A qualitative research on co-creating care pathways for Sarcoma and GIST by stimulating reflection." International Journal of Care Coordination 23, no. 1 (2020): 24–32. http://dx.doi.org/10.1177/2053434520907743.

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Introduction Care Pathway Management intends to enhance the quality of care by restructuring care services. As recipients of care, patients have relevant experiential knowledge on the provision of care, but they are rarely involved in Care Pathway Management due to various barriers. This study aims to acquire insights into how patients can be meaningfully involved in Care Pathway Management. Methods A case study was conducted to assess the implementation of patient involvement in the co-creation of the care pathways of Soft Tissue Sarcoma and Gastrointestinal Stromal Tumour at Erasmus MC Cance

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Ku, Chu-Chang, Chien-Chou Chen, Simon Dixon, Hsien Ho Lin, and Peter J. Dodd. "Patient pathways of tuberculosis care-seeking and treatment: an individual-level analysis of National Health Insurance data in Taiwan." BMJ Global Health 5, no. 6 (2020): e002187. http://dx.doi.org/10.1136/bmjgh-2019-002187.

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IntroductionPatients with tuberculosis (TB) often experience difficulties in accessing diagnosis and treatment. Patient pathway analysis identifies mismatches between TB patient care-seeking patterns and service coverage, but to date, studies have only employed cross-sectional aggregate data.MethodsWe developed an algorithmic approach to analyse and interpret patient-level routine data on healthcare use and to construct patients’ pathways from initial care-seeking to treatment outcome. We applied this to patients with TB in a simple random sample of one million patients’ records in the Taiwan

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Bayliss, Valerie, Maggie Cherry, Rachel Locke, and Liz Salter. "Pathways for continence care: development of the pathways." British Journal of Nursing 9, no. 17 (2000): 1165–72. http://dx.doi.org/10.12968/bjon.2000.9.17.5467.

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