Improving care pathways through evidence-based modeling strategies: a scoping review.
Noncommunicable and communicable diseases represent significant public health problems, heavily straining healthcare systems. The care pathway (CP) concept has emerged as a promising framework to improve care coordination and delivery, but its complexity often hinders implementation. Modeling, with...
| Publicado en: | Public Health (Elsevier) Vol. 244 |
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| Autores principales: | , , , , |
| Formato: | research systematic review Journal Article |
| Publicado: |
Elsevier B.V.
Jul2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=185650774&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 185650774 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00333506 18J0 jtl: Public Health (Elsevier) issn: 00333506 maglogo: N pubinfo: dt: Jul2025 vid: 244 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 185650774 185650774 185650774 10.1016/j.puhe.2025.105751 185650774 ppct: 1 formats: tig: atl: Improving care pathways through evidence-based modeling strategies: a scoping review. aug: au: du Sartz de Vigneulles, Benjamin Lan, Romain Mick, Gérard Dussart, Claude Carrouel, Florence affil: Laboratory "Health, Systemic, Process" (P2S), UR4129, University Claude Bernard Lyon 1, University of Lyon, 69008, Lyon, France sug: subj: Critical Path Medical Practice, Evidence-Based Health Care Delivery Methods Models, Theoretical Human Scoping Review PubMed Embase Quality Improvement Decision Support Systems, Clinical Prediction Models Conceptual Framework Treatment Outcomes ab: Noncommunicable and communicable diseases represent significant public health problems, heavily straining healthcare systems. The care pathway (CP) concept has emerged as a promising framework to improve care coordination and delivery, but its complexity often hinders implementation. Modeling, with its various methodologies, represents a valuable approach to address this challenge. Systematizing these methodologies is essential for enhancing CPs. This scoping review aims to describe and analyze CP modeling methodologies. Scoping review. Following PRISMA-ScR guidelines, searches were performed in PubMed, Web of science and Embase. Inclusion criteria were: (i) publications in English; (ii) human studies, (iii) published between January 1, 2019 and April 3, 2024 and (iv) use of modeling to analyze CPs. For each publication included, data were extracted and categorized based on modeling goals, methods used, functions of the techniques and their respective strengths and limitations. Analysis of the 41 included articles revealed that the main goals of CP modeling were quality of care (46.3 %), continuous improvement (31.7 %), and process optimization (22.0 %). The methods used for modeling were qualitative (41.5 %), quantitative (34.1 %), or mixed (24.4 %). Technical goals were description (48.8 %), decision support (36.6 %), and prediction (14.6 %). Qualitative methods (68.5 %) were common in studies focused on quality of care. Only 11 articles shared similar methodologies across at least two studies. Key weaknesses of CP modeling were data availability and implementation acceptance. This scoping review identified key categories and commonly used methodologies in CP modeling, offering a framework to help researchers and healthcare professionals improve CP design and implementation, leading to better patient outcomes and more efficient healthcare systems. pubtype: Academic Journal doctype: research systematic review Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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