Improving Customisation in Clinical Pathways by Using a Modular Perspective

A standardised system of clinical pathways often conflicts with providing patient-centred heterogeneous care. Mental health care organisations are searching for new methods to become responsive towards unique treatment needs. Modularity is a method increasingly suggested to reconcile standardisation...

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Autores principales:	Anne van Dam, Margot Metz, Bert Meijboom
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	shared decision making patient-centred care evidence-based practice clinical guidelines modularity specialist mental health care Medicine R
Acceso en línea:	https://doaj.org/article/91b00bd3276e46c89f70f38e5964d503
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spelling	oai:doaj.org-article:91b00bd3276e46c89f70f38e5964d5032021-11-11T16:17:21ZImproving Customisation in Clinical Pathways by Using a Modular Perspective10.3390/ijerph1821111291660-46011661-7827https://doaj.org/article/91b00bd3276e46c89f70f38e5964d5032021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11129https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601A standardised system of clinical pathways often conflicts with providing patient-centred heterogeneous care. Mental health care organisations are searching for new methods to become responsive towards unique treatment needs. Modularity is a method increasingly suggested to reconcile standardisation and customisation. The aim is to investigate the extent to which modularity can be applied to make clinical pathways in specialist mental health care more flexible in order to stimulate shared decision making (SDM) and thereby customise care processes to patient contexts while maintaining evidence-based standards. Methods consist of literature research and a theory-based case study including document analysis and semi-structured interviews, which were performed at a Dutch specialist mental health care organisation. The results show that in current literature two modularity-based structures are proposed that support flexibility and customisation, i.e., ‘Prototype’ and ‘Menu-based’. This study reveals that departments tend to use the prototype method if they have predictable patient needs, evidence-based methods are available and there is sequency in treatment components. The menu-based method is preferred if there are unpredictable needs, or the evidence needed to create interconnectedness in treatment is lacking. In conclusion, prototype or menu-based methods are both suitable for applying SDM and reaching customisation in practice. The choice is determined by three characteristics: predictability of needs, availability of evidence and the interconnectedness of treatment components.Anne van DamMargot MetzBert MeijboomMDPI AGarticleshared decision makingpatient-centred careevidence-based practiceclinical guidelinesmodularityspecialist mental health careMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11129, p 11129 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	shared decision making patient-centred care evidence-based practice clinical guidelines modularity specialist mental health care Medicine R
spellingShingle	shared decision making patient-centred care evidence-based practice clinical guidelines modularity specialist mental health care Medicine R Anne van Dam Margot Metz Bert Meijboom Improving Customisation in Clinical Pathways by Using a Modular Perspective
description	A standardised system of clinical pathways often conflicts with providing patient-centred heterogeneous care. Mental health care organisations are searching for new methods to become responsive towards unique treatment needs. Modularity is a method increasingly suggested to reconcile standardisation and customisation. The aim is to investigate the extent to which modularity can be applied to make clinical pathways in specialist mental health care more flexible in order to stimulate shared decision making (SDM) and thereby customise care processes to patient contexts while maintaining evidence-based standards. Methods consist of literature research and a theory-based case study including document analysis and semi-structured interviews, which were performed at a Dutch specialist mental health care organisation. The results show that in current literature two modularity-based structures are proposed that support flexibility and customisation, i.e., ‘Prototype’ and ‘Menu-based’. This study reveals that departments tend to use the prototype method if they have predictable patient needs, evidence-based methods are available and there is sequency in treatment components. The menu-based method is preferred if there are unpredictable needs, or the evidence needed to create interconnectedness in treatment is lacking. In conclusion, prototype or menu-based methods are both suitable for applying SDM and reaching customisation in practice. The choice is determined by three characteristics: predictability of needs, availability of evidence and the interconnectedness of treatment components.
format	article
author	Anne van Dam Margot Metz Bert Meijboom
author_facet	Anne van Dam Margot Metz Bert Meijboom
author_sort	Anne van Dam
title	Improving Customisation in Clinical Pathways by Using a Modular Perspective
title_short	Improving Customisation in Clinical Pathways by Using a Modular Perspective
title_full	Improving Customisation in Clinical Pathways by Using a Modular Perspective
title_fullStr	Improving Customisation in Clinical Pathways by Using a Modular Perspective
title_full_unstemmed	Improving Customisation in Clinical Pathways by Using a Modular Perspective
title_sort	improving customisation in clinical pathways by using a modular perspective
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/91b00bd3276e46c89f70f38e5964d503
work_keys_str_mv	AT annevandam improvingcustomisationinclinicalpathwaysbyusingamodularperspective AT margotmetz improvingcustomisationinclinicalpathwaysbyusingamodularperspective AT bertmeijboom improvingcustomisationinclinicalpathwaysbyusingamodularperspective
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Improving Customisation in Clinical Pathways by Using a Modular Perspective

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