A Quasi-Experimental Study of Dengue Hemorhagic Fever Grade 1 and 2 Clinical Pathway Implementation in Universitas Sumatera Utara Hospital

Abstract

Clinical pathways are essential to control cost and quality performance. The data of its implementation in USU Hospital was absent. This study aimed to assess the compliance of DHF CP implementation on diagnostic, treatment and hospital cost. This study was using quasi-experimental design. An intervention of CP socialization was conducted in 2019. The data were obtained from CP, Medical Record, financial unit, and Hospital Information System. A total of 100 DHF grade 1 and 2 cases were analyzed using SPSS. We found that the intervention improved the compliance of intravenous solution (p=0.096), drugs (p=0.001); reduced hospital adjusted cost (Rp. 481,165.42, p=0.002), laboratory cost (Rp. 205,535, p=0.012) and LOS (0.64 day, p=0.019). There was no statistical difference in laboratory test compliance (p =0.3) and drug cost (p= 0.113) between the CP groups. In conclusion, the implementation of DHF CP improved the overall hospital cost and variance of drugs.

Assessment of Healthcare Professional’s Knowledge, Skills, Motivation, and Commitment to Clinical Pathways Implementation

“…Before the current study, an intervention such as dengue hemorrhagic fever Grade 1 and 2 CP socialization was carried out in USU Hospital. As a result, it was found that the socialization improved the adherence of treatments, decreased treatment, laboratory costs, and length of treatment days, but adherence to the mandatory tests was not different [8]. It was suggested that socialization intervention only was not sufficient to achieve organizational goals.…”