Author or contributor

Implementing online evidence-based care pathways: A mixed-methods study across primary and secondary care

Resource type
Authors/contributors
Title
Implementing online evidence-based care pathways: A mixed-methods study across primary and secondary care
Abstract
AIM: To understand what contextual influences, mechanisms and outcomes affect the implementation and use of localised, online care pathways (HealthPathways) in primary and secondary care. DESIGN AND PROCEDURE: Mixed-measures design. Quantitative data included number of page views and conditions viewed. Qualitative data from semistructured interviews and focus groups were gathered over a 6-month period, and analysed using NVivo software. SETTING: The first HealthPathways UK site, South Tyneside, England. PARTICIPANTS: General practitioners, nurses, practice managers, hospital consultants and system leaders (managers, commissioners) (n=76). RESULTS: Use of the pathways significantly increased over time. Themes were developed showing how online care pathways were used-leadership, pre-existing networks and relationships; development of systems and processes for care pathways, the use of online care pathways to support decision-making and referral, and perceived availability of resources. Inter-related themes were arranged into configurations consisting of contextual influences, mechanisms and outcomes. Recommendations were made for future implementations, such as improved data collection processes to understand how and why there was variance in the use of pathways. CONCLUSIONS: This study was early in the implementation process; however, emerging themes will facilitate the future implementation and use of online care pathways. Recommendations are made for further research to include other health and social care users and patients to inform future developments.
Publication
BMJ open
Volume
8
Issue
12
Pages
e022991
Date
12 31, 2018
Journal Abbr
BMJ Open
Language
eng
DOI
10.1136/bmjopen-2018-022991
ISSN
2044-6055
Short Title
Implementing online evidence-based care pathways
Library Catalog
PubMed
Extra
PMID: 30598485 PMCID: PMC6318508
Citation
Akehurst, J., Sattar, Z., Gordon, I., & Ling, J. (2018). Implementing online evidence-based care pathways: A mixed-methods study across primary and secondary care. BMJ Open, 8(12), e022991. https://doi.org/10.1136/bmjopen-2018-022991
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