Korean J Dermatol.  2012 Jul;50(7):584-590.

Development and Implementation of Critical Pathway for Hospitalized Herpes Zoster Patients

Affiliations
  • 1Department of Dermatology, Eulji General Hospital, Eulji University College of Medicine, Seoul, Korea. drhams@eulji.ac.kr

Abstract

BACKGROUND
Critical pathway (CP) for medical practice was developed to provide quality improvement and cost-effective system. There was no available study on the critical pathway for herpes zoster patients.
OBJECTIVE
The objective of this study is to analyze the cost-effectiveness and satisfaction of patients and medical staffs.
METHODS
The CP was implemented to 52 herpes zoster patients (CP group), who were admitted to our hospital during the period from 2011 to 2012. We performed retrospective medical record analyses. The satisfaction of patients and medical staffs was measured by a questionnaire. The results of investigation were compared with 52 patients (Non-CP group), who were admitted from 2010 to 2011, when the critical pathway was not implemented.
RESULTS
There were no differences in patients' age, gender, periods of admission and follow-up. For the CP group patients, the more decrease in the pain score and lower total medical costs during the admission period were observed than the pre-CP group patients. The satisfaction of patients and medical staffs was reported higher in the CP group patients.
CONCLUSION
The development and implementation of the CP for herpes zoster patients can reduce medical costs and improve the overall satisfaction of the medical practice.

Keyword

Critical pathway; Herpes zoster

MeSH Terms

Critical Pathways
Follow-Up Studies
Herpes Zoster
Humans
Medical Records
Medical Staff
Quality Improvement
Retrospective Studies
Surveys and Questionnaires
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