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Record W7115697179 · doi:10.1007/978-3-031-95659-1_11

An Overview on Adopting Clinical Pathways in Primary Care: A Literature Review

2025· book-chapter· en· W7115697179 on OpenAlexaff

Bibliographic record

VenueSpringer proceedings in mathematics & statistics · 2025
Typebook-chapter
Languageen
FieldMedicine
TopicClinical practice guidelines implementation
Canadian institutionsUniversité Laval
Fundersnot available
KeywordsPrimary careHealth careQuality (philosophy)Clinical pathwayInclusion (mineral)Service (business)PopulationProcess (computing)MEDLINE

Abstract

fetched live from OpenAlex

Abstract Primary care is considered an essential service within the public healthcare system because it is responsible for offering continuity of care, patient-centeredness, coordination of care, prevention, health promotion, and patient autonomy. ** Clinicians are increasingly interested in utilizing clinical pathways to improve primary care quality and service delivery, providing more efficient use of available resources. ** At the secondary care level, clinical pathways are regularly used to ensure adequate management of care for a specific population to receive appropriate and timely care in an institution. It would be interesting to know if this process could have the same benefits within primary care. This literature review aims to screen the scientific literature on whether there have been studies able to address the application of clinical pathways in primary care. After screening both titles and abstracts, 26 papers were selected among 5,807 articles found. After the application of inclusion criteria for this literature review, 10 articles were selected. The results indicate the benefits and the limitation of using clinical pathways. However, the lack of resources in primary care and the resistance to change may limit the adoption of CPs.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.003
metaresearch head score (Gemma)0.008
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow), Research integrity
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Systematic review · Consensus signal: none
GenreCandidate signal: Other · Consensus signal: none
Teacher disagreement score0.746
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0030.008
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0020.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0010.003
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.205
GPT teacher head0.467
Teacher spread0.262 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designSystematic review
Domainnot available
GenreOther

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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