THE COMPLIANCE OF CLINICAL PATHWAY ON CLINICAL SUPERVISION IN DECREASING THE LENGTH OF STAY FOR PATIENTS UNDERGOING MASTECTOMY AT AN ACADEMIC HEALTH CENTRE

Authors

  • Ahmad Amin Mahmudin Department of Health Policy and Administration, Faculty of Public Health, Universitas Airlangga, Indonesia.
  • Djazuly Chalidyanto Department of Health Policy and Administration, Faculty of Public Health, Universitas Airlangga, Indonesia.
  • Desak Gede Agung Suprabawati Dr Soetomo General Hospital, Surabaya, Indonesia.
  • Erwin Asta Triyono Dr Soetomo General Hospital, Surabaya, Indonesia.
  • Elly Listiyani Dr Soetomo General Hospital, Surabaya, Indonesia.

Keywords:

Academic health centre, Clinical pathway, Clinical supervision, Length of stay, Mastectomy

Abstract

Background: The clinical pathway is a guideline to provide the coordination of services and to have the right outcome including to decrease the length of stay for patients undergoing the mastectomy procedure. At the academic health centre, the clinical pathway implementation gives challenges to medical specialists between caring for the patient and supervising the residents. 

Objective: To know the difference of compliance of clinical pathway with clinical supervision in decreasing the length of stay for patients undergoing mastectomy at an academic health centre in Indonesia. 

Methods: A retrospective cross-sectional study was done using medical records in 2018. Samples were chosen using a purposive sampling method. They were selected according to the inclusion and exclusion criteria (n=76). Furthermore, the compliance and the length of stay of the samples were assessed and observed. 

Results: The high compliance of clinical pathway on clinical supervision (n: 30) showed a length of stay with 5.7 days on average (standard <7 days) while the low compliance group (n:46) showed a mean of length of stay with 10.3 days. The independent sample test showed that the difference between the two compliance groups to decrease the length of stay was significant (p<0.05). 

Conclusion: There was a significant difference between high compliance and low compliance of clinical pathway on clinical supervision to decrease the length of stay for mastectomy patients at an academic health centre. 

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Published

2020-08-18

Issue

Vol 23 Suppl 1 (2020)

Section

Research article

License

All authors agree that the article, if editorially accepted for publication, shall be licensed under the Creative Commons Attribution License 4.0 to allow others to freely access, copy and use research provided the author is correctly attributed, unless otherwise stated. All articles are available online without charge or other barriers to access. However, anyone wishing to reproduce large quantities of an article (250+) should inform the publisher. Any opinion expressed in the articles are those of the authors and do not reflect that of the University of Malaya, 50603 Kuala Lumpur, Malaysia.