Cristin-resultat-ID: 1579417
Sist endret: 3. september 2018 12:56
NVI-rapporteringsår: 2018
Resultat
Vitenskapelig artikkel
2018

Disease-specific clinical pathways - are they feasible in primary care? : a mixed-methods study

Bidragsytere:
  • Anders Grimsmo
  • Audhild Løhre
  • Tove Garåsen Røsstad
  • Ingunn Gjerde
  • Ina Heidi Heiberg og
  • Aslak Steinsbekk

Tidsskrift

Scandinavian Journal of Primary Health Care
ISSN 0281-3432
e-ISSN 1502-7724
NVI-nivå 1

Om resultatet

Vitenskapelig artikkel
Publiseringsår: 2018
Volum: 36
Hefte: 2
Sider: 152 - 160
Open Access

Importkilder

Scopus-ID: 2-s2.0-85045275781

Beskrivelse Beskrivelse

Tittel

Disease-specific clinical pathways - are they feasible in primary care? : a mixed-methods study

Sammendrag

Objective: To explore the feasibility of disease-specific clinical pathways when used in primary care. Design: A mixed-method sequential exploratory design was used. First, merging and exploring quality interview data across two cases of collaboration between the specialist care and primary care on the introduction of clinical pathways for four selected chronic diseases. Secondly, using quantitative data covering a population of 214,700 to validate and test hypothesis derived from the qualitative findings. Setting: Primary care and specialist care collaborating to manage care coordination. Results: Primary-care representatives expressed that their patients often have complex health and social needs that clinical pathways guidelines seldom consider. The representatives experienced that COPD, heart failure, stroke and hip fracture, frequently seen in hospitals, appear in low numbers in primary care. The quantitative study confirmed the extensive complexity among home healthcare nursing patients and demonstrated that, for each of the four selected diagnoses, a homecare nurse on average is responsible for preparing reception of the patient at home after discharge from hospital, less often than every other year. Conclusions: The feasibility of disease-specific pathways in primary care is limited, both from a clinical and organisational perspective, for patients with complex needs. The low prevalence in primary care of patients with important chronic conditions, needing coordinated care after hospital discharge, constricts transferring tasks from specialist care. Generic clinical pathways are likely to be more feasible and efficient for patients in this setting. Keywords: health service research, care coordination, integrated care, general practice, home health nursing, practice guideline, multimorbidity

Bidragsytere

Aktiv cristin-person

Anders Grimsmo

  • Tilknyttet:
    Forfatter
    ved Institutt for samfunnsmedisin og sykepleie ved Norges teknisk-naturvitenskapelige universitet

Audhild Løhre

  • Tilknyttet:
    Forfatter
    ved Institutt for samfunnsmedisin og sykepleie ved Norges teknisk-naturvitenskapelige universitet
Aktiv cristin-person

Tove Garåsen Røsstad

  • Tilknyttet:
    Forfatter
    ved Institutt for samfunnsmedisin og sykepleie ved Norges teknisk-naturvitenskapelige universitet
Aktiv cristin-person

Ingunn Gjerde

  • Tilknyttet:
    Forfatter
    ved Avdeling for økonomi og samfunnsvitenskap ved Høgskolen i Molde - Vitenskapelig høgskole i logistikk

Ina Heidi Heiberg

  • Tilknyttet:
    Forfatter
    ved Nasjonalt senter for e-helseforskning ved Universitetssykehuset Nord-Norge HF
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