Efficacy of a clinical pathway for patients with thyroid cancer
- Authors
- Kwon, Hyungju; Lee, Joon-Hyop; Woo, Joohyun; Lim, Woosung; Moon, Byung-In; Paik, Nam Sun
- Issue Date
- Sep-2018
- Publisher
- WILEY
- Keywords
- clinical pathway; efficacy; nurse satisfaction; standardization; thyroid cancer
- Citation
- HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK, v.40, no.9, pp.1909 - 1916
- Journal Title
- HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK
- Volume
- 40
- Number
- 9
- Start Page
- 1909
- End Page
- 1916
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/3380
- DOI
- 10.1002/hed.25175
- ISSN
- 1043-3074
- Abstract
- BackgroundClinical pathways have been proposed as a way to improve organizational efficiency and maximize patient outcomes. However, little is known as to whether a clinical pathway is effective for thyroid cancer. MethodsThe study subjects included 216 patients who were managed after clinical pathway implementation and 145 control patients. Length of stay, cost per patient, and nurses' satisfaction were compared in the 2 groups. ResultsMean length of stay was 0.8 days shorter in the clinical pathway group than in the control group (2.9 vs 3.7 days; P = .023). Cost per patient was also lower in the clinical pathway than in the control group (USD $3953.00 vs USD $4636.00; P < .001). Nurses' overall satisfaction scores improved from 71.6% before to 82.5% after implementation of the clinical pathway and their job characteristics scores increased from 61.1% to 75.0%. ConclusionImplementation of a clinical pathway for thyroid cancer can improve nurses' satisfaction with reduction of hospital stay and costs.
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