Strategi Implementasi Clinical Pathway Terhadap Mutu Pelayanan Obstetri di Rumah Sakit pada Masa Pandemi COVID-19: Systematic Review

Clinical Pathway Implementation Strategy on the Quality of Obstetric Services in Hospitals during the COVID-19 Pandemic: Systematic Review

  • Vanda Sativa Kajian Administrasi Rumah Sakit, Fakultas Kesehatan Masyarakat Universitas Indonesia
  • Amal Chalik Sjaaf Departemen Administrasi dan Kebijakan Kesehatan, Fakultas Kesehatan Masyarakat Universitas Indonesia
  • Adik Wibowo Departemen Administrasi dan Kebijakan Kesehatan, Fakultas Kesehatan Masyarakat Universitas Indonesia
Keywords: Clinical Pathway, Mutu Pelayanan, Obstetri, Pandemi COVID-19

Abstract

Pendahuluan: Pandemi COVID-19 memberikan dampak bagi semua sektor termasuk sektor kesehatan. Ibu hamil merupakan kelompok rentan terpapar virus ini. Data WHO menunjukkan terdapat 290 juta kasus terkonfirmasi positif, dan dari data CDC didapatkan 155 ribu kasus pada ibu hamil di United States.

Tujuan: Penelitian ini dilakukan untuk mengetahui bagaimana strategi implementasi clinical pathway pada pelayanan obstetri di masa pandemi ini.

Metode: Penelitian dilakukan secara systematic review berdasarkan alur diagram PRISMA. Didapatkan 7 artikel yang dibahas dalam penelitian ini.

Hasil: Implementasi clinical pathway pada masa pandemi ini meliputi diagnosis COVID-19 pada ibu hamil, alat pelindung diri (APD) saat persalinan, manajemen sistem clinical pathway, serta pendukung dan penghambat dalam implementasi clinical pathway.

Kesimpulan: Implementasi clinical pathway pada pelayanan obstetri di rumah sakit pada masa pandemi merupakan suatu tantangan dan langkah penting yang tetap harus dapat diterapkan oleh rumah sakit agar mutu pelayanan dan keselamatan pasien tetap terjamin.

References

Brandt JS, Hill J, Reddy A, Schuster M, Patrick HS, Rosen T, et al. Epidemiology of coronavirus disease 2019 in pregnancy: risk factors and associations with adverse maternal and neonatal outcomes. Am J Obstet Gynecol [Internet]. 2021;224(4):389.e1-389.e9. Available from: https://doi.org/10.1016/j.ajog.2020.09.043

WHO. WHO Coronavirus (COVID-19) Dashboard [Internet]. Available from: https://covid19.who.int/?adgroupsurvey=%7Badgroupsurvey%7D&gclid=CjwKCAjwieuGBhAsEiwA1Ly_nXbkDu0u8UMSN_RIUHSYvIDAnT1zEbCXPDyhamIGvQMo3HmgdPaN2BoCmQMQAvD_BwE

CDC. Pregnant People: COVID-19 Illness and Outcomes [Internet]. Available from: https://covid.cdc.gov/covid-data-tracker/#pregnant-population

Sriyanti C. Mutu Layanan Kebidanan & Kebijakan Kesehatan. Badan Pengembangan dan Pemberdayaan Sumber Daya Manusia Kesehatan, editor. Jakarta: Kementerian Kesehatan Republik Indonesia; 2016.

Donabedian A. The Definition of Quality and Approaches to Its Assessment. In: Volume I: Explorations in Quality Assessment and Monitoring. Ann Arbor: Health Administration Press; 1980. p. 236.

Firmanda D. Clinical Pathways Kesehatan Anak. Sari Pediatr. 2016;8(3):195.

Li W, Liu K, Yang H, Yu C. Integrated clinical pathway management for medical quality improvement - Based on a semiotically inspired systems architecture. Eur J Inf Syst [Internet]. 2014;23(4):400–17. Available from: doi:10.1057/ejis.2013.9

Moher D, Shamseer L, Clarke M, Ghersi D, Liberati A, Petticrew M, et al. Prefered reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Syst rev. 2015;4(1):1.

Wu D, Fang D, Wang R, Deng D, Liao S. Management of Pregnancy during the COVIDâ€19 Pandemic. Glob Challenges. 2021;5(2):2000052.

Jeganathan S, Prasannan L, Blitz MJ, Vohra N, Rochelson B, Meirowitz N. Adherence and acceptability of telehealth appointments for high-risk obstetrical patients during the coronavirus disease 2019 pandemic. Am J Obstet Gynecol MFM [Internet]. 2020;2(4):100233. Available from: https://doi.org/10.1016/j.ajogmf.2020.100233

Jackson CL, Donald M, Russell AW, McIntyre HD. Establishing a new model of integrated primary and secondary care based around general practice: A case study of lessons learned and challenges. Aust Heal Rev [Internet]. 2018;42(3):299–302. Available from: http://dx.doi.org/10.1071/AH16147

Van Boekholt TA, Duits AJ, Busari JO. Health care transformation in a resource-limited environment: Exploring the determinants of a good climate for change. J Multidiscip Healthc [Internet]. 2019;12:173–82. Available from: http://dx.doi.org/10.2147/JMDH.S194180

Round T, Ashworth M, Crilly T, Ferlie E, Wolfe C. An integrated care programme in London: qualitative evaluation. J Integr Care. 2018;26(4):296–308.

Jabbour M, Newton AS, Johnson D, Curran JA. Defining barriers and enablers for clinical pathway implementation in complex clinical settings. Implement Sci [Internet]. 2018;13(1):1–14. Available from: https://doi.org/10.1186/s13012-018-0832-8

Lawal AK, Rotter T, Kinsman L, Machotta A, Ronellenfitsch U, Scott SD, et al. What is a clinical pathway? Refinement of an operational definition to identify clinical pathway studies for a Cochrane systematic review. BMC Med [Internet]. 2016;14(1):1–5. Available from: http://dx.doi.org/10.1186/s12916-016-0580-z

Kinsman L, Rotter T, James E, Snow P, Willis J. What is a clinical pathway? Development of a definition to inform the debate. BMC Med. 2010;8:8–10.

Great Ormond Street Hospital For Children (GOSH). How to produce and evaluate an integrated care pathway (ICP): information for staff. UK: NHS; 2010.

Middleton S, Barnett J, Reeves D. What is an integrated care pathway? Hayward Med Commun [Internet]. 2001;3(3). Available from: https://evidence-based-medicine.co.uk/

Field MJ, Lohr KN. Clinical Practice Guidelines: Directions for a New Program. Washington DC: National Academy Press; 1990.

Panella M, Van Zelm R, Sermeus W, Vanhaecht K. Care pathways for the organization of patients’ care. Bull Econ Organ Informatics Healthc. 2012;28(2):111–22.

Published
2022-03-10
How to Cite
Vanda Sativa, Amal Chalik Sjaaf, & Adik Wibowo. (2022). Strategi Implementasi Clinical Pathway Terhadap Mutu Pelayanan Obstetri di Rumah Sakit pada Masa Pandemi COVID-19: Systematic Review: Clinical Pathway Implementation Strategy on the Quality of Obstetric Services in Hospitals during the COVID-19 Pandemic: Systematic Review . Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 5(3), 248-256. https://doi.org/10.56338/mppki.v5i3.2200