Abstract

The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)The IJIC 20th Anniversary Issue was published in 2021.

Highlights

  • Despite the availability of Australian clinical practice guidelines, evidence suggests there are substantial variations in care within primary care settings

  • This study aimed to evaluate the effectiveness of HealthPathways in assisting GPs to provide appropriate care for five paediatric conditions

  • This study showed that participants who used HealthPathways scored higher than participants who did not, across all five conditions

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Summary

Introduction

Despite the availability of Australian clinical practice guidelines, evidence suggests there are substantial variations in care within primary care settings. Use of web-based guidelines and tools has the potential to assist healthcare providers in meeting clinical guidelines, thereby reducing unwarranted variations in care. HealthPathways is a web-based clinical guide to assist primary care clinicians with assessment, management, and localised referral pathways for various health conditions. HealthPathways has been implemented in many areas across Australia to facilitate the achievement of better integration of care for patients. This study aimed to evaluate the effectiveness of HealthPathways in assisting GPs to provide appropriate care for five paediatric conditions. Theory/methods: A quasi-experimental design was used to test the hypothesis that HealthPathways improves the quality of patient care. GPs documented their assessment of hypothetical patient scenarios with or without the use of HealthPathways. A marking rubric was used to assess adherence to clinical indicators, and percent agreement and inter-rater reliability tests were calculated. Clinical indicators were aligned to those from the CareTrack Kids project

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