Evidence map›Paper›PMID 28672030›Full record

ArticlePloS one2017

Better organized care via care pathways: A multicenter study.

Deborah Seys, Luk Bruyneel, Svin Deneckere, Seval Kul, Liz Van der Veken, Ruben van Zelm, Walter Sermeus, Massimiliano Panella, Kris Vanhaecht

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.7field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 52 citations in OpenAlex.

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  15. Development of a Model Care Pathway for Myasthenia Gravis.International journal of environmental research and public health · 2021
    Article
  16. Implementing a Care Pathway for Complex Chronic Patients from a Nursing Perspective: A Qualitative Study.International journal of environmental research and public health · 2021
    Article
  17. Article
  18. Article
  19. Integrated care pathways on dementia in Italy: a survey testing the compliance with a national guidance.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2020
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 3 countries.

Deborah SeysLeuven Institute for Healthcare Policy, KU Leuven - University of Leuven, Leuven, Belgium.
Luk BruyneelLeuven Institute for Healthcare Policy, KU Leuven - University of Leuven, Leuven, Belgium.
Svin DeneckereLeuven Institute for Healthcare Policy, KU Leuven - University of Leuven, Leuven, Belgium.
Seval KulDepartment of Biostatistics, Faculty of Medicine, University of Gaziantep, Gaziantep, Turkey.
Liz Van der VekenLeuven Institute for Healthcare Policy, KU Leuven - University of Leuven, Leuven, Belgium.
Ruben van ZelmLeuven Institute for Healthcare Policy, KU Leuven - University of Leuven, Leuven, Belgium.
Walter SermeusLeuven Institute for Healthcare Policy, KU Leuven - University of Leuven, Leuven, Belgium.
Massimiliano PanellaLeuven Institute for Healthcare Policy, KU Leuven - University of Leuven, Leuven, Belgium.
Kris VanhaechtLeuven Institute for Healthcare Policy, KU Leuven - University of Leuven, Leuven, Belgium.
KU Leuven · BEGaziantep University · TRUniversitair Ziekenhuis Leuven · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

Critical PathwaysBelgiumCross-Sectional StudiesHumansNetherlands

Identifiers

PMID28672030
PMCPMC5495424
OpenAlexW2728827586

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.