Full bibliography

Study topic:
Evaluation of HealthPathways Sydney (HPS) after a decade of implementation, focusing on its impact on integration, health equity, and efficiency within the Sydney Local Health District.

Study type:
Mixed-methods evaluation (Google Analytics, surveys, literature review, referral data)

Key findings:

• 89% of surveyed GPs reported improved patient care due to HPS; 73% found it supportive for diagnostics.
• HPS has grown to include 950 clinical pathways and is integrated with eReferral systems.
• Strong positive trends in usage: page views, sessions, and users have increased significantly over time, especially during COVID-19.
• 55% of GPs reported managing patients they would have previously referred, suggesting improved care consistency.
• Cost per page view has decreased over time, indicating improved technical efficiency; minimal time savings (34 seconds) per page view needed to justify cost.
• Increased engagement with priority population content (e.g. Aboriginal and Torres Strait Islander, disability, homelessness), though LGBTQIA+ content showed weaker correlation.
• Referral completeness improved slightly post-HPS implementation, though not statistically significant.
• eReferral engagement inversely correlated with socioeconomic disadvantage, indicating equity gaps.
• HPS adapted rapidly during COVID-19, shifting content focus from acute care to COVID medications and post-COVID care.
• Recommendations include expanding priority population content, improving feedback mechanisms, and assessing adherence and patient outcomes.
• HealthPathways was shown to be a critical tool for embedding evidence into practice, improving local service navigation, and supporting system-wide transformation over time.