Development of data-driven clinical pathways: the big data clinical evidence-based pathways.

ABSTRACT:

Objectives

This study developed clinical evidence-based pathways (CEBPWs) to standardise treatment protocols, align diagnosis-reimbursement criteria, detect upcoding and enable early overtreatment warnings.

Methods

The CEBPWs were developed based on hospitalised patient-level data from 1 January 2022 to 31 June 2024 in 166 public hospitals in 16 administrative districts of Shanghai. It includes a total of 5 319 336 cases, involving 3 688 108 groups of 'diagnosis+therapy'. 2.61 billion records of hospitalisation charges and 876.45 million records of outpatient charges were collected. GROWTH algorithm was used to find the combination of frequently charged items for examination, treatment, drugs and devices in 'diagnosis+therapy' group.

Results

CEBPWs comprise five key e

SUBMITTER: Cui X 

PROVIDER: S-EPMC12506050 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature