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Entwicklung eines internetbasierten klinischen Pfads am Beispiel des Fibromyalgiesyndroms

Development of an Internet-based clinical pathway exemplified by the fibromyalgia syndrome

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Zusammenfassung

Klinische Pfade (CP) gelten als ein Werkzeug des klinischen Prozessmanagements, das den optimalen Diagnose- und Behandlungsfluss eines spezifizierten Patiententyps abbildet. Abgesehen von wirtschaftlichen Aspekten können CP einen Beitrag zur Optimierung des Qualitätsmanagements, einer Weiterqualifizierung der Mitarbeiter und der Patientenzufriedenheit wie -sicherheit leisten. Von besonderer Bedeutung ist dies gerade auch, weil die tatsächliche Umsetzung und Akzeptanz von evidenzbasierten Leitlinien in der Medizin verbesserungswürdig ist. Im Folgenden wird zunächst eine Übersicht zur Thematik der klinischen Pfade gegeben. Darüber hinaus soll die kritische Diskussion um die Vor- und Nachteile durch Gewinnung eigener praktischer Erfahrungen stimuliert werden. So wird hier erstmals das Konzept eines digitalen CP für die Diagnose und Therapie des Fibromyalgiesyndroms in Anlehnung an die nationale S3-Leitlinie anhand eines frei verfügbaren, internetgestützten Systems vorgestellt.

Abstract

Clinical pathways (CP) are considered to be a tool of clinical process management describing the optimal route for diagnostic and therapeutic medical treatment of a specified patient. Apart from economic aspects CPs can make a contribution to optimization of health quality management as well as to improvement of medical staff and both patient satisfaction and patient safety whereas the feasibility and acceptance of evidence-based medicine guidelines are often found to be low. In order to stimulate critical discussion by offering the opportunity to easily gain first practical experience, a free web-based clinical pathway system for diagnosis and treatment for patients with fibromyalgia syndrome (FMS) will be presented.

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Danksagung

Der Autor dankt Dirk Blume und Janina Kleckow (DBI Informatik, Algermissen, Deutschland) für die freundliche Unterstützung bei der digitalen Implementierung des klinischen Pfads in ITER und Dirk Blume für kritische Anmerkungen zum Manuskript.

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  1. Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie, Universitätsklinikum Ulm, Am Hochsträß 8, 89081, Ulm, Deutschland

    M. Noll-Hussong

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Noll-Hussong, M. Entwicklung eines internetbasierten klinischen Pfads am Beispiel des Fibromyalgiesyndroms. Schmerz 26, 123–130 (2012). https://doi.org/10.1007/s00482-012-1145-5

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