The Implementation and Outcome of Clinical Pathway: A Systematic Review

Rizka Chairani Riza, Atik Nurwahyuni


Faculty of Public Health, University of Indonesia



Background: Clinical pathways provide detailed guidance for each stage in the management of a patient, such as treatments and interventions, with a specific condition over a given time period. Clinical pathway implementation has the potential to standardize treatment and improve outcomes. The purpose of this study was to explore the implementation and outcome of clinical pathway.

Subjects and Method: This was a systematic review which carried out by searching articles from 2000 to 2018 in PubMed, BMC, Science Direct and Indonesian Health Economics Journal databases. The keywords for this review included clinical pathway, care maps, care pathway, integrated clinical pathway, implementation, and evaluation. The data were analyzed by PRISMA method.

Results: Clinical pathway affected patients, medical staffs, and hospital management. The impact of clinical pathway on patients included: (1) reduced length of stay; and (2) reduced total cost of hospitalization. Clinical pathway increased communication, know-ledge, teamwork among hospital staffs, and quality of health care service for patients.

Conclusion: Good implementation of clinical pathway affects patients, medical staffs, and hospital management. Clinical pathway can improve quality of health services in the hospital.

Keywords: clinical pathway, implementation, evaluation, health service, hospital

Correspondence: Rizka Chairani Riza. Faculty of Public Health, University of Indo­nesia. Depok, West Java. Email: Mobile: 081380684872.


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