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ORIGINAL ARTICLE Why clinical guidelines or care pathways in mental health? Jacqueline McQueen and Stephen Milloy State Hospital, Carstairs, Lanarkshire, Scotland The majority of patients are men (92%), and 67% INTRODUCTION are classed as ‘restricted’, meaning they cannot leave Currently, there is considerable interest in clinical the hospital without the approval of the First Minister guidelines and care pathways, and many health care for Scotland. Forty-six per cent of patients have a dual organisations are actively developing these tools as diagnosis and 70% are diagnosed with schizophrenia. vehicles for improving the quality of patient care. In this article we will explore the differences and similar- WHAT ARE WE TALKING ABOUT? ities between clinical guidelines and care pathways, and examine the main reasons for the push to intro- Clinical guidelines and care pathways are produced duce them. We will also outline what we see as the within the State Hospital for one reason and one rea- key attributes and benefits of guidelines and pathways son only - to improve the quality of care. The initial and present a case study of the development of a path- reasons for introduction were: way within the admission assessment facility of the observed variations
Journal of Integrated Care Pathways – SAGE
Published: Aug 1, 2001
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