CLINICAL PATHWAY DALAM PELAYANAN STROKE AKUT: APAKAH PATHWAY MEMPERBAIKI PROSES PELAYANAN?
| Main Author: | Pinzon, Rizaldy |
|---|---|
| Format: | Article info application/pdf Journal |
| Bahasa: | ind |
| Terbitan: |
Jurnal Manajemen Pelayanan Kesehatan
, 2013
|
| Online Access: |
https://journal.ugm.ac.id/jmpk/article/view/2562 https://journal.ugm.ac.id/jmpk/article/view/2562/2295 |
Daftar Isi:
- Background: The stroke care pathway is a simple resourcethat provides the user with a summary of the key aspects ofcare that should be considered for people with stroke at anystage in their care. There is very limited study about the use ofclinical pathway in Indonesia.Aim: This study described the process of developing clinicalcare pathway and the trial of pathway for 50 patients withacute stroke.Method: The method of this study is after-before analysis.We compare the process and outcome of non haemorrhagicstroke patients before and after the pilot implementation of thepathway. The data was obtained randomly from the medicalrecord of stroke patients. The data was analyzed descriptively.Result: The data from 50 non haemorrhagic stroke patientsafter the pilot implementation of clinical pathway were comparedwith the data from previous year. The analysis showed thatthere are improvement in the tracing for stroke risk factors,swallowing assessment, nutritional consultation, and functionalstatus measurement after the pathway implementation. Thereare not significant reductions on the average length of stayand mortality rate between the two periods.Conclusion: Our study showed that clinical pathway isimproving the indicator of stroke care services. The furtherstudy for evaluating the effectiveness of stroke care pathwayin longer period is warranted.Keywords: clinical pathway, stroke, process of care, outcome