Clinical processes in an innovative vascular surgeon community. Implications for workflow modeling.

Stud Health Technol Inform

The Norwegian EHR Research Centre (NSEP), Medical technical research Centre, Trondheim, Norway.

Published: September 2008

AI Article Synopsis

  • The study aims to identify factors that cause differences in how patients with abdominal aortic aneurism are treated across hospitals.
  • Researchers observed 26 meetings between surgeons and patients at two community hospitals and one university hospital, analyzing clinical workflow scenarios.
  • Significant differences in patient treatment paths and the roles of healthcare providers were noted, suggesting that healthcare planning should focus on improving care while also fostering the development and maintenance of surgical skills.

Article Abstract

Objective: To identify factors influencing variations in clinical work in the care of patients with abdominal aortic aneurism.

Method: Ethnographic observations of 26 meetings between surgeons and patients in two community hospitals and one university hospital. Observations data were abstracted into scenarios that describe the typical clinical workflow. Characterizations of features of the scenarios were performed.

Results: When comparing the university hospital and the community hospitals we find large variations in patient trajectories, and in the relation between actors' and roles.

Conclusion: Given a clinical domain distinguished by an unrelenting search for new and improved surgical techniques, workflow system requirements should reflect that healthcare planning not only is conducted with the purpose of providing care but also with purpose of developing new or maintaining existing surgical skills.

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