DAMPAK PEMBERLAKUAN CLINICAL PATHWAY TERHADAP KUALITAS PELAYANAN STROKE DI RS BETHESDA YOGYAKARTA
| Main Authors: | , Tiara Kusumaningtyas, , Prof. dr. Adi Utarini, M.Sc.,MPH, Ph.D. |
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| Format: | Thesis NonPeerReviewed |
| Terbitan: |
[Yogyakarta] : Universitas Gadjah Mada
, 2013
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| Subjects: | |
| Online Access: |
https://repository.ugm.ac.id/126945/ http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=67184 |
Daftar Isi:
- Background: Stroke is one of the major health problems worldwide. A good clinical management system is needed to improve the quality of stroke care. Clinical pathway has tremendous appeal as an integrated approach to improve quality of stroke care by reducing unnecessary variation in process and outcome. However the evidences of the impact of clinical pathway on the quality of stroke care remain questionable. Purpose: To evaluate whether clinical pathway could improve the quality of stroke care by using processes and outcome performance indicators. Method: This study uses before-after test without control group quasi-experimental method. The subjects are ischemic and hemorrhagic stroke patients admitted to the Stroke Unit in Bethesda Hospital. A total of 844 patients were managed on the clinical pathway compared to patients who were managed with standard care. Indicators of performances were compared (historical comparison) between the two groups of patient. Restriction and matching of study subjects in both groups ensured thus the patients selected were comparable in terms of severity of illness. Result: The results showed that the patients on the clinical pathway and the comparison group were similar with respect to demographic variables (except sex), prevalence of risk factors and facial muscle defisit symptom. Following pathway implementation, there was no statistically significant difference on the impact of clinical pathway on stroke mortality outcome. In hospital mortality was 14,5% prior to the pathway and 17,8% after the pathway. The implementation of stroke care pathway is able to significantly improve some care processes