Use and impact of clinical pathways across various healthcare settings: A protocol for an umbrella review of global evidence.

IF 2.1 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Rishita Chandra, Maria Unwin, Viet Tran, Amanda Neil
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引用次数: 0

Abstract

Aim: The proposed umbrella review aims to assess the use and impact of clinical pathways on professional practice, patient outcomes, length of hospital stay, hospital costs, patient satisfaction, and hospital staff satisfaction through a synthesis of existing systematic reviews and meta-analyses.

Methods: Following PRIOR guidelines, a systematic search will be conducted in MEDLINE, Epistemonikos, and the Cochrane Library to identify relevant systematic reviews and meta-analyses, from inception till March 2024. Two reviewers will independently screen titles and abstracts, with a third resolving any disagreements. Full-text articles considered potentially relevant will be assessed for eligibility by the same process. The data extraction form will cover information about the review methods, characteristics of the included primary studies, the types of interventions evaluated, and the reported outcomes. This standardized data extraction form will be piloted by the review team on five to ten articles to ensure all relevant information is recorded. The quality of included systematic reviews and meta-analyses will be evaluated using AMSTAR 2. PROSPERO registration number is CRD42024529371.

Results: The study will present a narrative synthesis of the findings, addressing the clinical and methodological heterogeneity and assessing the impact of clinical pathways on various healthcare outcomes.

Conclusion and implications: This umbrella review will provide evidence-based insights into the effectiveness, challenges, and best practices of clinical pathways, guiding healthcare decision-making and identifying areas for future research. Results will be disseminated widely to inform policy and improve healthcare service delivery.

Patient or public contribution: No patient or public contribution, as this paper is a protocol of an umbrella review.

临床路径在各种医疗机构中的使用和影响:对全球证据进行总体审查的方案。
目的:拟议的总体综述旨在通过综合现有的系统综述和荟萃分析,评估临床路径的使用及其对专业实践、患者预后、住院时间、医院成本、患者满意度和医院员工满意度的影响:根据 PRIOR 指南,将在 MEDLINE、Epistemonikos 和 Cochrane 图书馆进行系统检索,以确定从开始到 2024 年 3 月的相关系统综述和荟萃分析。两名审稿人将独立筛选标题和摘要,由第三名审稿人解决任何分歧。认为可能相关的文章全文将通过同样的程序进行资格评估。数据提取表将涵盖有关综述方法、纳入的主要研究的特点、评估的干预类型以及报告的结果等信息。评审小组将在 5 到 10 篇文章中试用这种标准化的数据提取表,以确保记录所有相关信息。纳入的系统综述和荟萃分析的质量将使用 AMSTAR 2 进行评估。PROSPERO 注册号为 CRD42024529371:本研究将对研究结果进行叙述性综合,解决临床和方法异质性问题,并评估临床路径对各种医疗结果的影响:本综述将为临床路径的有效性、挑战和最佳实践提供循证见解,为医疗决策提供指导,并确定未来的研究领域。研究结果将被广泛传播,为制定政策和改善医疗服务提供依据:无患者或公众贡献,因为本文是总综述的协议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.80
自引率
4.20%
发文量
143
审稿时长
3-8 weeks
期刊介绍: The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.
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