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

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Ahmad Amin Mahmudin
Djazuly Chalidyanto
Desak Gede Agung Suprabawati
Erwin Asta Triyono
Elly Listiyani

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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Research article