ArticleBMC medical informatics and decision making2016
The eClinical Care Pathway Framework: a novel structure for creation of online complex clinical care pathways and its application in the management of sexually transmitted infections.
Article in BMC medical informatics and decision making, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 21 citations in OpenAlex.
- Recommendations for developing asynchronous online consultations for chlamydia treatment for underserved populations: a Behaviour Change Wheel analysis.Sexually transmitted infections · 2026Article
- Co-creating the clinical pathway for Test it, a web-accessed sexually transmitted infections testing service.NPJ digital medicine · 2026Article
- Impact of Individual, Organizational, and Technological Factors on the Implementation of an Online Portal to Support a Clinical Pathway Addressing Psycho-Oncology Care: Mixed Methods Study.JMIR human factors · 2021Article
- Article
- The Current and Future Use of Telemedicine in Infectious Diseases Practice.Current infectious disease reports · 2019Review
- Mixed-methods evaluation of a novel online STI results service.Sexually transmitted infections · 2018Article
- Using the eSexual Health Clinic to access chlamydia treatment and care via the internet: a qualitative interview study.Sexually transmitted infections · 2018Article
- Automated clinical pathway standardization using SNOMED CT- based semantic relatedness.Digital healthArticle
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Authors and funding
10 authors at 5 institutions in 1 country.
Funding
Abstract
backgroundDespite considerable international eHealth impetus, there is no guidance on the development of online clinical care pathways. Advances in diagnostics now enable self-testing with home diagnosis, to which comprehensive online clinical care could be linked, facilitating completely self-directed, remote care. We describe a new framework for developing complex online clinical care pathways and its application to clinical management of people with genital chlamydia infection, the commonest sexually transmitted infection (STI) in England.
methodsUsing the existing evidence-base, guidelines and examples from contemporary clinical practice, we developed the eClinical Care Pathway Framework, a nine-step iterative process. Step 1: define the aims of the online pathway; Step 2: define the functional units; Step 3: draft the clinical consultation; Step 4: expert review; Step 5: cognitive testing; Step 6: user-centred interface testing; Step 7: specification development; Step 8: software testing, usability testing and further comprehension testing; Step 9: piloting. We then applied the Framework to create a chlamydia online clinical care pathway (Online Chlamydia Pathway).
resultsUse of the Framework elucidated content and structure of the care pathway and identified the need for significant changes in sequences of care (Traditional: history, diagnosis, information versus Online: diagnosis, information, history) and prescribing safety assessment. The Framework met the needs of complex STI management and enabled development of a multi-faceted, fully-automated consultation.
conclusionThe Framework provides a comprehensive structure on which complex online care pathways such as those needed for STI management, which involve clinical services, public health surveillance functions and third party (sexual partner) management, can be developed to meet national clinical and public health standards. The Online Chlamydia Pathway's standardised method of collecting data on demographics and sexual behaviour, with potential for interoperability with surveillance systems, could be a powerful tool for public health and clinical management.
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