关键词: Healthcare trajectory business process modelling notation care pathways healthcare management healthcare processes scoping review

Mesh : Delivery of Health Care Health Facilities Humans Peer Review Research Design Systematic Reviews as Topic

来  源:   DOI:10.1136/bmjopen-2021-060357

Abstract:
The adoption of business process model notation (BPMN) in modelling healthcare trajectory can enhance the efficiency and efficacy of healthcare organisations, improve patient outcomes while restraining costs. Existing systematic reviews have been inconclusive regarding the effectiveness of BPMN in modelling healthcare trajectory. The aims of this scoping review are to map and aggregate existing evidence on the benefits and limitations associated with BPMN in healthcare trajectory, highlighting areas of improvement on BPMN and its extensions in healthcare. We will assess BPMN\'s ability to model key dimensions or concepts of the healthcare process and to meet the needs of stakeholders. The review will highlight the advantages of this approach to support clinical activities and decision-making processes associated with the healthcare trajectory, proposing a conceptual framework for improving the use of BPMN in healthcare.
This study will be performed in accordance with the methodological framework suggested by Arksey and O\'Malley. A wide range of electronic databases and grey literature sources will be systematically searched using predefined keywords. The review will include any study design focusing on the application of the BPMN approach for optimising healthcare trajectories, published in either English or French from 1 January 2004 to 9 December 2021. Two reviewers will independently screen titles, abstracts and full-text articles and select articles meeting the inclusion criteria. A customised data extraction form will be used to extract data. The results will be presented using descriptive statistics and thematic analysis on qualitative data.
Research ethics approval is not required. Review findings will be used to advance understanding about BPMN, its extensions and application in healthcare trajectory optimisation. The review will develop recommendations on tailoring BPMN strategies for optimising care pathways and decision-making processes. Findings will be disseminated in peer-reviewed journals, conferences and discussions with relevant organisations and stakeholders.
摘要:
在对医疗保健轨迹进行建模时采用业务流程模型表示法(BPMN)可以提高医疗保健组织的效率和功效,改善患者预后,同时抑制成本。关于BPMN在医疗轨迹建模中的有效性,现有的系统评价尚无定论。本次范围审查的目的是绘制和汇总现有证据,说明与BPMN在医疗保健轨迹相关的益处和局限性。强调BPMN的改进领域及其在医疗保健领域的扩展。我们将评估BPMN对医疗保健流程的关键维度或概念进行建模并满足利益相关者需求的能力。审查将强调这种方法的优势,以支持与医疗保健轨迹相关的临床活动和决策过程,提出了一个改进BPMN在医疗保健中使用的概念框架。
本研究将按照Arksey和O\'Malley建议的方法框架进行。将使用预定义的关键字系统地搜索各种电子数据库和灰色文献来源。该审查将包括任何研究设计,重点是应用BPMN方法优化医疗保健轨迹,2004年1月1日至2021年12月9日以英文或法文出版。两名审阅者将独立筛选标题,摘要和全文文章以及符合纳入标准的精选文章。定制的数据提取表单将用于提取数据。结果将使用描述性统计和定性数据的主题分析来呈现。
不需要研究伦理批准。审查结果将用于增进对BPMN的理解,它在医疗保健轨迹优化中的扩展和应用。该审查将制定有关定制BPMN策略的建议,以优化护理途径和决策过程。调查结果将在同行评审的期刊上传播,与相关组织和利益相关者的会议和讨论。
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