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Successes and Challenges in the Implementation of Care Pathways in an Intellectual Disability Service: Health Professionals' Experiences

journal contribution
posted on 11.11.2015, 09:22 by Susan Wood, Satheesh Gangadharan, Freya Tyrer, Rohit Gumber, John Devapriam, Avinash Hiremath, Sabyasachi Bhaumik
Healthcare pathways are a relatively new approach to delivering care in intellectual disability services. The authors endeavored to ascertain and explore successes and challenges in the implementation of care pathways in a National Health Service adult intellectual disability service in Leicestershire, UK. Data were obtained from a variety of sources including observations of multidisciplinary team meetings, issue logs, and feedback from health professionals. Constant comparative analysis identified 10 themes: communication between health professionals; clarity and dissemination of relevant documentation; multidisciplinary working; role of health professionals; role of administrative staff; locality differences; information technology systems; care pathway procedures; attitudes toward care pathways; and impact on clients. It was found that a new implementation of care pathways approach to service delivery in the healthcare setting can be challenging for health professionals. Some of the challenges were generic to service change and could be addressed through careful and organized preplanning of the implementation process. Others, such as organizational culture and attitudes within the organization, were contextual and may be unique to each service and warrant significant advance consideration when attempting implementation.

History

Citation

Journal of Policy and Practice in Intellectual Disabilities, 2014, 11 (1), pp. 1-7 (7)

Author affiliation

/Organisation/COLLEGE OF MEDICINE, BIOLOGICAL SCIENCES AND PSYCHOLOGY/School of Medicine/Department of Health Sciences

Version

AM (Accepted Manuscript)

Published in

Journal of Policy and Practice in Intellectual Disabilities

Publisher

Wiley-Blackwell

issn

1741-1122

eissn

1741-1130

Acceptance date

16/09/2013

Copyright date

2014

Available date

05/03/2016

Publisher version

http://onlinelibrary.wiley.com/doi/10.1111/jppi.12063/abstract

Notes

The file associated with this record is under a 24-month embargo from publication in accordance with the publisher's self-archiving policy, available at http://olabout.wiley.com/WileyCDA/Section/id-820227.html. The full text may be available through the publisher links provided above.

Language

en