Pengaruh Kepatuhan Alur Klinis Dalam Menurunkan Lama Rawat Inap

Background: A clinical pathway is a multidisciplinary care plan based on the best clinical practice for a group of patients with a particular diagnosis designed to minimize care delay and maximize the quality of care and clinical outcomes. In 2017, the average length of stay for pediatric patients with acute gastroenteritis was prolonged even though clinical pathways had been implemented. Aim: This study aims to determine the relation between the diagnostic examination and therapy compliance of the clinical pathway related to the length of stay. Method: This study was cross-sectional research utilizing simple random sampling. Researchers analyzed pediatric patients whose clinical pathway was fully completed by doctors. The inclusion criteria were pediatric patients admitted to hospitals between January and December 2018 as acute gastroenteritis patients. The data were analyzed using multiple classification analysis. Results: There were 197 patients whose clinical pathway was fully completed. In total, 60.91% of cases were compiled for diagnostic examination and 88.32% for therapy. There was no statistically significant correlation between diagnostic examination compliance (p > 0.05) and therapy compliance (p > 0.05) of the clinical pathway and patients’ length of stay (combined = p > 0.05). Conclusion: Many factors could be related to the length of stay, especially patients’ condition. In this study, clinical pathway compliance had no impact on reducing length of stay.