Impact and outcome evaluation of HealthPathways: a scoping review of published methodologies

ABSTRACT INTRODUCTIONThe HealthPathways programme is an online health information system used mainly in primary health care to promote a consistent and integrated approach to patient care. AIMThe aim of this study is to perform a scoping review of the methodologies used in published impact and outco...

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Main Authors: Sanjeewa Kularatna, Steven McPhail, Kylie Hutchinson, Wendy Dolejs, Helen Exley, Monica Novick, Bridget Abell, Sameera Senanayake
Format: Article
Language:English
Published: CSIRO Publishing 2021-01-01
Series:Journal of Primary Health Care
Subjects:
Online Access:https://www.publish.csiro.au/hc/pdf/HC21067
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author Sanjeewa Kularatna
Steven McPhail
Kylie Hutchinson
Wendy Dolejs
Helen Exley
Monica Novick
Bridget Abell
Sameera Senanayake
author_facet Sanjeewa Kularatna
Steven McPhail
Kylie Hutchinson
Wendy Dolejs
Helen Exley
Monica Novick
Bridget Abell
Sameera Senanayake
author_sort Sanjeewa Kularatna
collection DOAJ
description ABSTRACT INTRODUCTIONThe HealthPathways programme is an online health information system used mainly in primary health care to promote a consistent and integrated approach to patient care. AIMThe aim of this study is to perform a scoping review of the methodologies used in published impact and outcomes evaluations of HealthPathways programmes. METHODSThe review included qualitative, quantitative or mixed-methods evaluations of the impact or outcome of HealthPathways. MEDLINE, Embase, CINAHL and Web of Science databases were searched. Seven programme aims were identified in the impact and outcome evaluation: (1) increased awareness and use of HealthPathways; (2) general practitioners are supported to adopt best practice, patient-centred care; (3) increased appropriate use of resources and services; (4) improved quality of referrals; (5) enhanced consistent care and management of health conditions; (6) improved patient journeys through the local health system; and (7) reduction in health-care cost and increased value for money. RESULTSTwenty-one studies were included in the final review; 15 were research papers and six were reports. ‘Increased awareness and use of HealthPathways' was the most frequent programme aim evaluated (n=12). Quantitative and qualitative research methodologies, as well as prospective and retrospective data collections, have been adopted to evaluate the impact and outcome of HealthPathways. DISCUSSIONAssessing the impacts and outcomes of HealthPathways may be challenging due to limitations in primary data and the interconnectedness of change across the measured aims. Each aim may therefore require specific methodologies sensitive enough to capture the impact that HealthPathways are making over time.
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spelling doaj.art-7f2c2420c815438987ae0bf16fa2208f2022-12-22T03:54:51ZengCSIRO PublishingJournal of Primary Health Care1172-61562021-01-01133260273HC21067Impact and outcome evaluation of HealthPathways: a scoping review of published methodologiesSanjeewa Kularatna0Steven McPhail1Kylie Hutchinson2Wendy Dolejs3Helen Exley4Monica Novick5Bridget Abell6Sameera Senanayake7Queensland University of Technology (QUT), Australian Centre for Health Services Innovation and Centre for Healthcare Transformation, School of Public Health and Social Work, Faculty of Health, Brisbane, Qld 4059, Australia.Queensland University of Technology (QUT), Australian Centre for Health Services Innovation and Centre for Healthcare Transformation, School of Public Health and Social Work, Faculty of Health, Brisbane, Qld 4059, Australia; and Clinical Informatics Directorate, Metro South Health, Brisbane, Qld 4102, Australia.Adelaide PHN, 1/22 Henley Beach Road, Mile End, SA 5031, Australia.Adelaide PHN, 1/22 Henley Beach Road, Mile End, SA 5031, Australia.Health Integration and Coordination, Country South Australia PHN, 30 Tanunda Rd, Nuriootpa, SA 5355, Australia.Wellbeing South Australia, Level 8, 11 Hindmarsh Square, Adelaide, SA 5000, Australia.Queensland University of Technology (QUT), Australian Centre for Health Services Innovation and Centre for Healthcare Transformation, School of Public Health and Social Work, Faculty of Health, Brisbane, Qld 4059, Australia.Queensland University of Technology (QUT), Australian Centre for Health Services Innovation and Centre for Healthcare Transformation, School of Public Health and Social Work, Faculty of Health, Brisbane, Qld 4059, Australia; and Corresponding author. Email: s2.senanayake@qut.edu.auABSTRACT INTRODUCTIONThe HealthPathways programme is an online health information system used mainly in primary health care to promote a consistent and integrated approach to patient care. AIMThe aim of this study is to perform a scoping review of the methodologies used in published impact and outcomes evaluations of HealthPathways programmes. METHODSThe review included qualitative, quantitative or mixed-methods evaluations of the impact or outcome of HealthPathways. MEDLINE, Embase, CINAHL and Web of Science databases were searched. Seven programme aims were identified in the impact and outcome evaluation: (1) increased awareness and use of HealthPathways; (2) general practitioners are supported to adopt best practice, patient-centred care; (3) increased appropriate use of resources and services; (4) improved quality of referrals; (5) enhanced consistent care and management of health conditions; (6) improved patient journeys through the local health system; and (7) reduction in health-care cost and increased value for money. RESULTSTwenty-one studies were included in the final review; 15 were research papers and six were reports. ‘Increased awareness and use of HealthPathways' was the most frequent programme aim evaluated (n=12). Quantitative and qualitative research methodologies, as well as prospective and retrospective data collections, have been adopted to evaluate the impact and outcome of HealthPathways. DISCUSSIONAssessing the impacts and outcomes of HealthPathways may be challenging due to limitations in primary data and the interconnectedness of change across the measured aims. Each aim may therefore require specific methodologies sensitive enough to capture the impact that HealthPathways are making over time.https://www.publish.csiro.au/hc/pdf/HC21067HealthPathwaysevaluationcare pathways
spellingShingle Sanjeewa Kularatna
Steven McPhail
Kylie Hutchinson
Wendy Dolejs
Helen Exley
Monica Novick
Bridget Abell
Sameera Senanayake
Impact and outcome evaluation of HealthPathways: a scoping review of published methodologies
Journal of Primary Health Care
HealthPathways
evaluation
care pathways
title Impact and outcome evaluation of HealthPathways: a scoping review of published methodologies
title_full Impact and outcome evaluation of HealthPathways: a scoping review of published methodologies
title_fullStr Impact and outcome evaluation of HealthPathways: a scoping review of published methodologies
title_full_unstemmed Impact and outcome evaluation of HealthPathways: a scoping review of published methodologies
title_short Impact and outcome evaluation of HealthPathways: a scoping review of published methodologies
title_sort impact and outcome evaluation of healthpathways a scoping review of published methodologies
topic HealthPathways
evaluation
care pathways
url https://www.publish.csiro.au/hc/pdf/HC21067
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