IMPACT OF CLINICAL PATHWAY IMPLEMENTATION OF LAPAROSCOPIC APPENDECTOMY ON LENGTH OF STAY, HOSPITAL COST AND PATIENT HEALTH OUTCOME AT EMC PEKAYON HOSPITAL

Abstract

The most important goal in health services is to produce patient health outcomes that benefit patients and continue to prioritize the quality of health services. The results of the interviews conducted found that referrals from insurance agents also decreased due to problems related to the variety of services that have an impact on increasing service costs. The purpose of this study was to determine the impact of implementing a clinical pathway as a tool for quality and cost control on length of stay, hospital costs, patient health outcomes in groups that implement and do not implement clinical pathways. This study took place at the EMC Pekayon Hospital with a population of all medical record files of patients who had a diagnosis of appendicitis with laparoscopic appendectomy surgery in the period 2021 to November 2022 who met the inclusion criteria, namely 69 patients. Clinical pathway is the independent variable and length of stay, hospital cost, patient health outcome is the dependent variable. The research design used is analysis with qualitative in-depth interviews and documentation studies. The results showed that the implementation of the clinical pathway had an impact on the length of stay, hospital costs and patient health outcomes. The implications of this research in theory will prove the impact of the implementation of research variables and managerially will further improve the service evaluation system in hospitals to improve service quality and cost efficiency.