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Efficacy of a clinical pathway for patients with thyroid cancer

Title
Efficacy of a clinical pathway for patients with thyroid cancer
Authors
Kwon, HyungjuLee, Joon-HyopWoo, JoohyunLim, WoosungMoon, Byung-InPaik, Nam Sun
Ewha Authors
문병인임우성백남선권형주우주현
SCOPUS Author ID
문병인scopus; 임우성scopus; 백남선scopus; 권형주scopus; 우주현scopus
Issue Date
2018
Journal Title
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK
ISSN
1043-3074JCR Link

1097-0347JCR Link
Citation
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK vol. 40, no. 9, pp. 1909 - 1916
Keywords
clinical pathwayefficacynurse satisfactionstandardizationthyroid cancer
Publisher
WILEY
Indexed
SCI; SCIE; SCOPUS WOS scopus
Document Type
Article
Abstract
BackgroundClinical pathways have been proposed as a way to improve organizational efficiency and maximize patient outcomes. However, little is known as to whether a clinical pathway is effective for thyroid cancer. MethodsThe study subjects included 216 patients who were managed after clinical pathway implementation and 145 control patients. Length of stay, cost per patient, and nurses' satisfaction were compared in the 2 groups. ResultsMean length of stay was 0.8 days shorter in the clinical pathway group than in the control group (2.9 vs 3.7 days; P = .023). Cost per patient was also lower in the clinical pathway than in the control group (USD $3953.00 vs USD $4636.00; P < .001). Nurses' overall satisfaction scores improved from 71.6% before to 82.5% after implementation of the clinical pathway and their job characteristics scores increased from 61.1% to 75.0%. ConclusionImplementation of a clinical pathway for thyroid cancer can improve nurses' satisfaction with reduction of hospital stay and costs.
DOI
10.1002/hed.25175
Appears in Collections:
의과대학 > 의학과 > Journal papers
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