Effectiveness of a clinical pathway for the diagnosis and treatment of dementia and for the education of families

Hiroaki Kazui, Mamoru Hashimoto, Yoko Nakano, Keiji Matsumoto, Shuhei Yamamura, Kentaro Nagaoka, Etsuro Mori, Hidetoshi Endo, Hiromasa Tokunaga, Yoshitaka Ikejiri, Masatoshi Takeda

Research output: Contribution to journalArticlepeer-review

12 Citations (Scopus)

Abstract

Aims. Clinical pathways (Cps) are rarely used in the treatment of dementia. We established a CP for a series of medical practices (diagnosis, treatment, establishment of a care system, and caregiver education) for patients with dementia hospitalized for a three-week period, and evaluated its usefulness. Methods. The length of hospital stay and hospital costs were compared between 23 consecutive patients with dementia hospitalized and treated using a CP and 20 controls treated by conventional medical practice without using a CP in a special ward for dementia patients. In the CP group, at the time of discharge, primary caregivers, physicians, and nurses were given a questionnaire to obtain their comments about the impression of treatment with the CP. Results. The questionnaire survey indicated that the CP deepened the caregiver's understanding of the sequence of medical practices for the inpatient, the disorders of the inpatient, the treatment methods, and the methods for coping with the disorder. The CP was also useful for facilitating inpatient medical practice and promoting the establishment of a care system after discharge. The use of the CP significantly shortened the length of hospital stay and decreased hospital costs during hospitalization but increased the amount of work per day and made the medical staff feel that their freedom to choose medical procedures had been restricted. Conclusions. The CP was useful for execution of inpatient medical practices for patients with dementia.

Original languageEnglish
Pages (from-to)892-897
Number of pages6
JournalInternational Journal of Geriatric Psychiatry
Volume19
Issue number9
DOIs
Publication statusPublished - 2004 Sep

Keywords

  • Care
  • Caregiver education
  • Clinical pathway
  • Dementia
  • Diagnosis
  • Efficacy
  • Hospital costs
  • Length of hospital stay
  • Treatment

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Psychiatry and Mental health

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