One-day diagnosis for hepatobiliary and pancreatic lesions: An innovative patient-centered care pathway organization

Background: Faced with increased expectations regarding the quality and safety of health care delivery systems, a number of stakeholders are increasingly looking for more qualitative and efficient ways to deliver care. This study is conducted to provide a clear definition of the patient-centered care pathway and its characteristics to meet the need for an international consensus. Methods: This qualitative systematic review aims to perform a systematic synthesis of published evidence concerning (1) the definition of the patient trajectory, patient pathway or patient journey and (2) their characteristics. With a consulting librarian, a comprehensive and systematic search in three databases was conducted (PUBMED, Embase, ABI/Inform), from 1995 to 2020 without language criteria. Eligibility criteria guiding data selection will follow the PICo mnemonic criteria consisting of (1) Population : all types of patients managed by health care delivery systems for an acute or chronic condition regardless of age or condition, (2) Phenomena : studies that contribute to the definition and conceptualization of the concepts of care trajectory, care pathway and patient journey resulting in a theoretical and conceptual contribution, and (3) Context : health care providers include all providers of primary, secondary, tertiary, and quaternary care in any geographic area. Two reviewers will independently screen, select, extract data and make a critical assessment of the methodology used with the JBI Qualitative Assessment and Review Instrument (JBI QARI).Discussion: This systematic review will provide much-needed knowledge regarding patient-centered pathways. The results will benefit clinicians, decision makers, and researchers by giving them a clear and integrated definition and understanding of the patient-centered care pathways and their characteristics to finally meet the need for an international consensus.

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4167 ORAL Identity and Normal Life as the Focus of Adolescents and Young Adults With Cancer – the Basis for the Development of a Patient Centered Care Pathway

European Journal of Cancer ◽

10.1016/s0959-8049(11)71333-8 ◽

2011 ◽

Vol 47 ◽

pp. S299

Author(s):

E. Decoene ◽

S. Vandierendonck ◽

N. Belpame ◽

A. Raes ◽

S. Verhaeghe

Keyword(s):

Young Adults ◽

Care Pathway ◽

Patient Centered Care ◽

Adolescents And Young Adults ◽

Patient Centered ◽

Normal Life ◽

Centered Care

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French Health professionals’ attitudes about patient empowerment in the cancer care pathway

Clinical Nursing Studies ◽

10.5430/cns.v7n4p41 ◽

2019 ◽

Vol 7 (4) ◽

pp. 41

Author(s):

Elise Verot ◽

Véronique Régnier-Denois ◽

Dominique Feld ◽

Romain Rivoirard ◽

Franck Chauvin

Keyword(s):

Nursing Care ◽

Health Professionals ◽

Cancer Care ◽

Care Pathway ◽

Patient Empowerment ◽

Patient Centered Care ◽

Care Providers ◽

Patient Centered ◽

Centered Care ◽

New Form

Objective: France is experiencing a shift in health policy. The purpose of this article is to describe how cancer care health professionals define patient empowerment, describe modalities of care of the cancer patient treated by intravenous means and identify avenues for reflection on the specific challenges facing patient-centered care, from the perspective of changes in practices in the cancer care pathway.Methods: 19 individual, semi-structured interviews with health professionals working in cancer care facilities were analyzed in a qualitative study, using the Theoretical Domain Framework linked to the COM-B model.Results: The organization of care is governed by three factors. First of all, the cancer care system focuses on the strictly curative aspect of this disease. All devices lead to management centered on the pathology, and not on the patient as a whole. Secondly, the fact that the patient suffers from cancer modifies the attitudes and representations of caregivers towards the patient. Cancer introduces a relational bias in each of the stakeholders. Thirdly, the current organization of nursing care maintains paternalistic and prescriptive care in the cancer care pathway. Only new nursing jobs (coordinating nurses or pivot nurses) suggest the possibility of switching to patient-centered care. The analysis from TDF linked to the COM-B model shows that the strategy of implementing a new tool to measure the level of patient engagement, in routine nursing care, must focus on the reflective opportunity and motivation of the stakeholders.Conclusions: Caregivers should be acculturated to patient empowerment. TDF linked to the COM-B model can make it possible to think about how to prepare and adapt this change in practice at several sites of cancer treatment. Training adapted to the context to familiarize current caregivers with this new form of care is currently being implemented. To succeed, acculturating current health care providers to this new form of care, while offering them a tool to objectively assess the level of patient empowerment would undoubtedly foster their involvement in supporting patient empowerment, while allowing them to evaluate the time required to integrate this type of care.

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Toward the Integration of Technology-Based Interventions in the Care Pathway for People with Dementia: A Cross-National Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph181910405 ◽

2021 ◽

Vol 18 (19) ◽

pp. 10405

Author(s):

Vera Stara ◽

Benjamin Vera ◽

Daniel Bolliger ◽

Susy Paolini ◽

Michiel de Jong ◽

...

Keyword(s):

Care Pathway ◽

Patient Centered Care ◽

National Study ◽

Multidisciplinary Teams ◽

Virtual Agents ◽

Virtual Agent ◽

Patient Centered ◽

People With Dementia ◽

Integration Of Technology ◽

Centered Care

Background: The integration of technology-based interventions into health and care provision in our aging society is still a challenge especially in the care pathway for people with dementia. Objective: The study aims to: (1) identify which socio-demographic characteristics are independently associated with the use of the embodied conversational agent among subjects with dementia, (2) uncover patient cluster profiles based on these characteristics, and (3) discuss technology-based interventions challenges. Methods: A virtual agent was used for four weeks by 55 persons with dementia living in their home environment. Results: Participants evaluated the agent as easy-to-use and quickly learnable. They felt confident while using the system and expressed the willingness to use it frequently. Moreover, 21/55 of the patients perceived the virtual agent as a friend and assistant who they could feel close to and who would remind them of important things. Conclusions: Technology-based interventions require a significant effort, such as personalized features and patient-centered care pathways, to be effective. Therefore, this study enriches the open discussion on how such virtual agents must be evidence-based related and designed by multidisciplinary teams, following patient-centered care as well as user-centered design approaches.

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