Implementation of a clinical pathway may improve alcohol treatment outcome

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Resumé

This article describes the design, implementation, and evaluation of a clinical pathway system in a two-cohort
quasi-experimental study before and after implementation, controlling for confounders. The main outcome measures
were retention in care and sensible alcohol use (defined as abstinent or drinking no more than 21 standard drinks
per week). Patients with harmful alcohol use or dependence as their primary problem who were seeking psychosocial
treatment at one of four alcohol clinics in Denmark participated in the study. After implementation of the clinical
pathway system, which incorporated a structured intake, a referral and independent follow-up system, checklists,
audit, and feedback, there was no change in length of stay, but significantly more patients had a good clinical
outcome (stopped or moderated their consumption) at the end of treatment (OR = 1.9; 1.2–3.1). The study documents
the feasibility of using a clinical pathway framework, incorporating a local monitoring system, checklists, audit,
and feedback to enhance treatment quality and improve outcomes for alcohol use disorders
OriginalsprogEngelsk
Artikelnummer7
TidsskriftAddiction Science & Clinical Practice
Vol/bind10
Udgave nummerMarch
Antal sider7
ISSN1940-0632
DOI
StatusUdgivet - 2015

Fingeraftryk

Critical Pathways
Alcohols
Checklist
Feasibility Studies
Denmark
Drinking
Length of Stay
Referral and Consultation

Citer dette

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abstract = "This article describes the design, implementation, and evaluation of a clinical pathway system in a two-cohortquasi-experimental study before and after implementation, controlling for confounders. The main outcome measureswere retention in care and sensible alcohol use (defined as abstinent or drinking no more than 21 standard drinksper week). Patients with harmful alcohol use or dependence as their primary problem who were seeking psychosocialtreatment at one of four alcohol clinics in Denmark participated in the study. After implementation of the clinicalpathway system, which incorporated a structured intake, a referral and independent follow-up system, checklists,audit, and feedback, there was no change in length of stay, but significantly more patients had a good clinicaloutcome (stopped or moderated their consumption) at the end of treatment (OR = 1.9; 1.2–3.1). The study documentsthe feasibility of using a clinical pathway framework, incorporating a local monitoring system, checklists, audit,and feedback to enhance treatment quality and improve outcomes for alcohol use disorders",
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Implementation of a clinical pathway may improve alcohol treatment outcome. / Nielsen, Anette Søgaard; Nielsen, Bent.

I: Addiction Science & Clinical Practice, Bind 10, Nr. March , 7, 2015.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

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AU - Nielsen, Bent

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PY - 2015

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N2 - This article describes the design, implementation, and evaluation of a clinical pathway system in a two-cohortquasi-experimental study before and after implementation, controlling for confounders. The main outcome measureswere retention in care and sensible alcohol use (defined as abstinent or drinking no more than 21 standard drinksper week). Patients with harmful alcohol use or dependence as their primary problem who were seeking psychosocialtreatment at one of four alcohol clinics in Denmark participated in the study. After implementation of the clinicalpathway system, which incorporated a structured intake, a referral and independent follow-up system, checklists,audit, and feedback, there was no change in length of stay, but significantly more patients had a good clinicaloutcome (stopped or moderated their consumption) at the end of treatment (OR = 1.9; 1.2–3.1). The study documentsthe feasibility of using a clinical pathway framework, incorporating a local monitoring system, checklists, audit,and feedback to enhance treatment quality and improve outcomes for alcohol use disorders

AB - This article describes the design, implementation, and evaluation of a clinical pathway system in a two-cohortquasi-experimental study before and after implementation, controlling for confounders. The main outcome measureswere retention in care and sensible alcohol use (defined as abstinent or drinking no more than 21 standard drinksper week). Patients with harmful alcohol use or dependence as their primary problem who were seeking psychosocialtreatment at one of four alcohol clinics in Denmark participated in the study. After implementation of the clinicalpathway system, which incorporated a structured intake, a referral and independent follow-up system, checklists,audit, and feedback, there was no change in length of stay, but significantly more patients had a good clinicaloutcome (stopped or moderated their consumption) at the end of treatment (OR = 1.9; 1.2–3.1). The study documentsthe feasibility of using a clinical pathway framework, incorporating a local monitoring system, checklists, audit,and feedback to enhance treatment quality and improve outcomes for alcohol use disorders

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