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BOOK REVIEW Integrated Care Pathways: a Practical Approach to The third section of the book, which looks at the Implementation. process of implementation of an ICP, gives some excellent advice on what to expect when attempting Middleton S, Roberts A, eds. Oxford: Buttenvorth- to change practice and ideas across the professions. A Heinemann, 2000. ISBN 0 7506 4087 1, A16.99. case study, of the implementation of a pathway for However those working within health care services the management of otitis media in children, discusses feel about quality initiatives, evidence-based care, the involvement of all professionals participating in and local or national guidelines, these issues are here the care of these patients. Chapter eight, ‘Maintaining to stay, and clinically based staff must be involved in Momentum’, indicates both the successes and failures their development or risk losing control over their which may be encountered, demonstrating the reality practice. This UK book provides an introduction to of the process rather than the ‘ideal’ which is often some of the current changes taking place in the presented in texts such as these. Chapter nine dis- delivery and management of health care, looked at cusses the process of evaluating the effectiveness of within the framework of the Integrated Care pathways, which is an essential process if we are to be Pathway (ICP). sure they are not just another passing trend but are The book divides into three sections: first explain- truly beneficial to patient care. ing what ICPs are; then why they should be intro- On the whole I found this book easy to read, and it duced; and finally the process of introduction. gave a clear and up-to-date overview of some of the Contributors are drawn from a multidisciplinary back- current changes in progress in the UK National ground including medicine, nursing and management. Health Service today. There was however some repe- Throughout the text there are examples of pathways tition, and at times figures and tables did not relate and other documentation in use across the UK. clearly to the text. The book provides a useful intro- A number of current initiatives are discussed, duction to Integrated Care Pathways and will be a including the role of clinical governance in providing good starting point for those wishing to introduce a high quality service, the work of the National them, but, as with all dramatically new approaches to Institute for Clinical Excellence, clinical audit, cost- patient care, the actual irnplementation process will effectiveness, benchmarking and risk management provide the greatest learning experience of all. issues. There is some repetition in earlier chapters, Terri Chant RGN, BSc particularly regarding the role of clinical governance, Formerly Neonatal Research Sister, but the book gves an overview of recent changes and initiatives in the UK which may be useful for those St Mary3 Hospital for Women G Children, with little experience of these management issues. Manchester, UK JOUKNAL OF INTEGRATED CAKE PATHWAYS (2001) 5, 35 0 The Royal Society ofMFdionr Prrx Ltd 2001
Journal of Integrated Care Pathways – SAGE
Published: Apr 1, 2001
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