Clinical Care Pathways

  • Benjamin E. SchneiderEmail author


Clinical care pathways have been developed to integrate multidisciplinary treatment for a defined diagnosis or treatment. The concept of surgical pathways is not new, with published examples ranging from craniotomy to the treatment diabetic foot ulcers. From the standpoint of the surgical care, such pathways represent an algorithmic approach to patient care beginning with preoperative evaluation and extending through each treatment stage to discharge and follow-up.


Surgical Care Algorithmic Approach Patient Centered Care Multidisciplinary Treatment Treatment Stage 
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Selected Readings

  1. Dy SM, Garg P, Puskal G, et al. Critical pathway effectiveness: assessing the impact of patient, hospital care, and pathway characteristics using qualitative comparative analysis. Health Serv Res. 2005;40(2):499–516.PubMedCrossRefGoogle Scholar
  2. Campbell H, Hotchkiss R, Bradshaw N, Porteous M. Integrated care pathways. BMJ. 1998;316:133–7.PubMedCrossRefGoogle Scholar
  3. Vanounou T, Pratt W, Fischer JE, et al. Deviation-based cost modeling: a novel model to evaluate the clinical and economic impact of clinical pathways. J Am Coll Surg. 2007;204(4):570–9.PubMedCrossRefGoogle Scholar
  4. Pearson SD, Goulart-Fischer D, Lee TH. Critical pathways as a strategy for improving care: problems and potential. Ann Intern Med. 1995;123:941–8.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Department of SurgeryBeth Israel Deaconess Medical Center, Harvard Medical SchoolBostonUSA

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