Measuring clinical pathway adherence

Joris van de Klundert, Pascal Gorissen, Stef Zeemering

Research output: Contribution to journalArticlepeer-review

56 Scopus citations

Abstract

As clinical pathway adoption continues worldwide, it is necessary to establish adherence measurement methods in order to understand the difficulties and results of implementation. Adherence measurement literature mostly provides binary measurements of adherence to guidelines regarding individual medical activities over patient groups. The resulting measurements are of limited value in view of the pathways actually followed by individual patients. We develop and test dynamic programming formulations for adherence measurement in clinical pathways - based on partially ordered data in medical records and pathway definitions. With these new methods at hand, we analyze clinical pathway adherence at the Cardiovascular Center of Maastricht University Medical Center.

Original languageEnglish
Pages (from-to)861-872
Number of pages12
JournalJournal of Biomedical Informatics
Volume43
Issue number6
DOIs
StatePublished - Dec 2010
Externally publishedYes

Keywords

  • Adherence
  • Clinical pathways
  • Dynamic programming

Fingerprint

Dive into the research topics of 'Measuring clinical pathway adherence'. Together they form a unique fingerprint.

Cite this