[Methodological aspects of integrated care pathways]

Rev Calid Asist. 2017 Jul-Aug;32(4):234-239. doi: 10.1016/j.cali.2016.12.003. Epub 2017 Mar 7.
[Article in Spanish]

Abstract

An Integrated Healthcare Pathway (PAI) is a tool which has as its aim to increase the effectiveness of clinical performance through greater coordination and to ensure continuity of care. PAI places the patient as the central focus of the organisation of health services. It is defined as the set of activities carried out by the health care providers in order to increase the level of health and satisfaction of the population receiving services. The development of a PAI requires the analysis of the flow of activities, the inter-relationships between professionals and care teams, and patient expectations. The methodology for the development of a PAI is presented and discussed in this article, as well as the success factors for its definition and its effective implementation. It also explains, as an example, the recent PAI for Hypoglycaemia in patients with Type 2 Diabetes Mellitus developed by a multidisciplinary team and supported by several scientific societies.

Keywords: Atención al paciente; Case management; Clinical protocols; Critical pathways; Diabetes mellitus tipo 2; Gestión de casos; Hipoglucemia; Hypoglycaemia; Manejo del paciente; Patient care; Patient management; Protocolos clínicos; Ruta crítica; Type 2 diabetes mellitus.

MeSH terms

  • Critical Pathways*
  • Delivery of Health Care, Integrated / methods*
  • Diabetes Mellitus, Type 2 / complications
  • Humans
  • Hypoglycemia / etiology
  • Hypoglycemia / therapy
  • Spain