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Title: Successes and Challenges in the Implementation of Care Pathways in an Intellectual Disability Service: Health Professionals' Experiences
Authors: Wood, Susan
Gangadharan, Satheesh
Tyrer, Freya
Gumber, Rohit
Devapriam, John
Hiremath, Avinash
Bhaumik, Sabyasachi
First Published: 5-Mar-2014
Publisher: Wiley-Blackwell
Citation: Journal of Policy and Practice in Intellectual Disabilities, 2014, 11 (1), pp. 1-7 (7)
Abstract: Healthcare pathways are a relatively new approach to delivering care in intellectual disability services. The authors endeavored to ascertain and explore successes and challenges in the implementation of care pathways in a National Health Service adult intellectual disability service in Leicestershire, UK. Data were obtained from a variety of sources including observations of multidisciplinary team meetings, issue logs, and feedback from health professionals. Constant comparative analysis identified 10 themes: communication between health professionals; clarity and dissemination of relevant documentation; multidisciplinary working; role of health professionals; role of administrative staff; locality differences; information technology systems; care pathway procedures; attitudes toward care pathways; and impact on clients. It was found that a new implementation of care pathways approach to service delivery in the healthcare setting can be challenging for health professionals. Some of the challenges were generic to service change and could be addressed through careful and organized preplanning of the implementation process. Others, such as organizational culture and attitudes within the organization, were contextual and may be unique to each service and warrant significant advance consideration when attempting implementation.
DOI Link: 10.1111/jppi.12063
ISSN: 1741-1122
eISSN: 1741-1130
Version: Post-print
Status: Peer-reviewed
Type: Journal Article
Rights: Copyright © 2014 International Association for the Scientific Study of Intellectual and Developmental Disabilities and Wiley Periodicals, Inc. This is the peer reviewed version of the following article: Wood, S., Gangadharan, S., Tyrer, F., Gumber, R., Devapriam, J., Hiremath, A. and Bhaumik, S. (2014), Successes and Challenges in the Implementation of Care Pathways in an Intellectual Disability Service: Health Professionals' Experiences. Journal of Policy and Practice in Intellectual Disabilities, 11: 1–7, which has been published in final form at doi: 10.1111/jppi.12063. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
Description: The file associated with this record is under a 24-month embargo from publication in accordance with the publisher's self-archiving policy, available at The full text may be available through the publisher links provided above.
Appears in Collections:Published Articles, Dept. of Health Sciences

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