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Article

Roles of pathway-based models and their contribution to the redesign of health-care systems

Citation
Mould G & Bowers J (2011) Roles of pathway-based models and their contribution to the redesign of health-care systems. International Journal of Care Pathways, 15 (3), pp. 90-97. http://www.scopus.com/inward/record.url?partnerID=yv4JPVwI&eid=2-s2.0-84857329774&md5=dce64719345ede919faaa805bdec88c7; https://doi.org/10.1258/jicp.2011.011003

Abstract
Care pathways provide a practical analytical tool that encompasses both organizational efficiency and individual patients'care. In the UK, constructing the care pathway has been a recommended starting point for the re-design of health-caresystems. This paper examines the re-design cycle for health-care systems and looks at the role of pathway-basedmodels in the design and operation phases of the cycle. In addition, the models provide further benefits for communicatingrecommended practice and audit of care and outcomes. The models span the classic care pathway with extensions tosimulation modelling. An example of the use of care pathways in the re-design of an emergency department is used forillustration. This study shows the role of pathway models as: a tool for re-design, a catalyst for enhancing communicationand as a repository for audit information. The final role of a tool for modelling contingencies was not implemented. Fromthe example it can be concluded that sophisticated models can be useful, in some applications; however, the simplerapproaches may often be the best, offering rapid, transparent recommendations based on a multidisciplinary approach.

Journal
International Journal of Care Pathways: Volume 15, Issue 3

StatusPublished
Author(s)Mould, Gillian; Bowers, John
Publication date31/12/2011
Publication date online20/6/2011
URLhttp://hdl.handle.net/1893/6716
PublisherRoyal Society of Medicine Press
Publisher URLhttp://www.scopus.com/…9faaa805bdec88c7
ISSN2040-4026
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