Of all the recent changes in health care, none more dramatically affected both patients and care providers than managed care. Not only has it altered the way we pay for health care, but also it has compelled a change in the way we approach health care, focusing increasingly on preventive care to reduce costs. In this book, the author and her colleagues examine the impact of managed care on nursing as a profession and nurses as individual caregivers. Managed Care: Practice Strategies for Nursing will serve as an excellent course text on nursing and managed care, as well as a useful introduction and shelf reference for professional nurses at all levels of practice.

Clinical Pathway Outcome Research

Clinical pathway outcome research

Accurate knowledge is the basis of correct opinion.

C. Simmons (Catrevas, Edwards, & Browns, 1963)

Clinical pathways (also called critical pathways) have emerged as a tool for nursing to use to better track patients’ progress through an acute hospital stay. It is expected that increased efficiency and lowered costs will result from this (Horne, 1996). At the same time, managed care organizations have mandated that quality health care be provided more efficiently. Services and resources must be managed so that clinical benefits are maximized while costs are minimized (Boles & Fleming, 1996). However, little research has been done to examine the effects of clinical pathway usage on costs and quality outcomes. Without such research, the effect of clinical pathways on ...

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