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. 2018 Jul 1;25(7):901-906.
doi: 10.1093/jamia/ocy010.

Clinical pathways for primary care: current use, interest and perceived usability

Jennifer M Toy  1 , Adam Drechsler  2 , Richard C Waters  3
Affiliations

Clinical pathways for primary care: current use, interest and perceived usability

Jennifer M Toy et al. J Am Med Inform Assoc. .

Erratum in

Abstract

Objective: Translating clinical evidence to daily practice remains a challenge and may improve with clinical pathways. We assessed interest in and usability of clinical pathways by primary care professionals.

Methods: An online survey was created. Interest in pathways for patient care and learning was assessed at start and finish. Participants completed baseline questions then pathway-associated question sets related to management of 2 chronic diseases. Perceived pathway usability was assessed using the system usability scale. Accuracy and confidence of answers was compared for baseline and pathway-assisted questions.

Results: Of 115 participants, 17.4% had used clinical pathways, the lowest of decision support tool types surveyed. Accuracy and confidence in answers significantly improved for all pathways. Interest in using pathways daily or weekly was above 75% for the respondents.

Conclusion: There is low utilization of, but high interest in, clinical pathways by primary care clinicians. Pathways improve accuracy and confidence in answering written clinical questions.

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Figures

Figure 1.
Figure 1.
Survey study design. Abbreviations: MD: medical doctor; DO: doctor of osteopathy; ARNP: advance registered nurse practitioner; PA: physician assistant; CP: clinical pathway; *R: randomization point.
Figure 2.
Figure 2.
Chronic gout flow-chart design pathway. Abbreviations: HTN: hypertension; ASCVD: atherosclerotic cardiovascular disease; CKD: chronic kidney disease; ESRD: end-stage renal disease; eGFR: estimated glomerular filtration rate; NSAID: non-steroidal anti-inflammatory drug.
Figure 3.
Figure 3.
Chronic gout segmented design pathway. Abbreviations: HTN: hypertension; ASCVD: atherosclerotic cardiovascular disease; CKD: chronic kidney disease; ESRD: end-stage renal disease; eGFR: estimated glomerular filtration rate; NSAID: non-steroidal anti-inflammatory drug.
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