Document Detail


Implementation of guidelines and paths in oncology.
MedLine Citation:
PMID:  8953599     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
At the M.D. Anderson Cancer Center, we initiated a disease management program to reduce the variability of practice and increase its effectiveness, using a model that was familiar to the faculty. Professional staff members, including physicians, nurses, and allied health professionals, were divided into groups according to disease site. Each group developed practice guidelines and collaborative care paths based on evidence in the literature and expert opinion. Desired outcomes were defined. The faculty participated in developing and implementing the program, which was viewed as a means of achieving efficient, productive management of care. Nearly 1,000 patients have been entered on the 98 paths outlined to date. Integrated information systems have been an important tool for instituting the guidelines at the point of patient care and for measuring clinical and financial outcomes. A physician-led outcomes management program should permit us to deliver high-quality care and support outcomes research while decreasing costs.
Authors:
M Morris
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Oncology (Williston Park, N.Y.)     Volume:  10     ISSN:  0890-9091     ISO Abbreviation:  Oncology (Williston Park, N.Y.)     Publication Date:  1996 Nov 
Date Detail:
Created Date:  1997-04-02     Completed Date:  1997-04-02     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8712059     Medline TA:  Oncology (Williston Park)     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  123-9     Citation Subset:  IM    
Affiliation:
University of Texas, M.D., Anderson Cancer Center, Houston, USA.
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MeSH Terms
Descriptor/Qualifier:
Critical Pathways*
Humans
Neoplasms* / diagnosis,  therapy
Practice Guidelines as Topic* / standards
Treatment Outcome
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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