IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i21p11129-d662698.html
   My bibliography  Save this article

Improving Customisation in Clinical Pathways by Using a Modular Perspective

Author

Listed:
  • Anne van Dam

    (McCoy & Partners, Torenallee 45, 5617 BA Eindhoven, The Netherlands)

  • Margot Metz

    (GGz Breburg, Specialist Mental Health Care Organisation, P.O. Box 770, 5000 AT Tilburg, The Netherlands
    Scientific Centre Tranzo, Tilburg School of Social and Behavioural Sciences, Tilburg University, P.O. Box 90153, 5000 LE Tilburg, The Netherlands)

  • Bert Meijboom

    (Scientific Centre Tranzo, Tilburg School of Social and Behavioural Sciences, Tilburg University, P.O. Box 90153, 5000 LE Tilburg, The Netherlands
    Department of Management, Tilburg University, P.O. Box 90153, 5000 LE Tilburg, The Netherlands
    Department of Marketing, Innovation and Organization, Ghent University, Tweekerkenstraat 2, 9000 Ghent, Belgium)

Abstract

A standardised system of clinical pathways often conflicts with providing patient-centred heterogeneous care. Mental health care organisations are searching for new methods to become responsive towards unique treatment needs. Modularity is a method increasingly suggested to reconcile standardisation and customisation. The aim is to investigate the extent to which modularity can be applied to make clinical pathways in specialist mental health care more flexible in order to stimulate shared decision making (SDM) and thereby customise care processes to patient contexts while maintaining evidence-based standards. Methods consist of literature research and a theory-based case study including document analysis and semi-structured interviews, which were performed at a Dutch specialist mental health care organisation. The results show that in current literature two modularity-based structures are proposed that support flexibility and customisation, i.e., ‘Prototype’ and ‘Menu-based’. This study reveals that departments tend to use the prototype method if they have predictable patient needs, evidence-based methods are available and there is sequency in treatment components. The menu-based method is preferred if there are unpredictable needs, or the evidence needed to create interconnectedness in treatment is lacking. In conclusion, prototype or menu-based methods are both suitable for applying SDM and reaching customisation in practice. The choice is determined by three characteristics: predictability of needs, availability of evidence and the interconnectedness of treatment components.

Suggested Citation

  • Anne van Dam & Margot Metz & Bert Meijboom, 2021. "Improving Customisation in Clinical Pathways by Using a Modular Perspective," IJERPH, MDPI, vol. 18(21), pages 1-9, October.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:21:p:11129-:d:662698
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/21/11129/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/18/21/11129/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. de Blok, Carolien & Meijboom, Bert & Luijkx, Katrien & Schols, Jos, 2013. "The human dimension of modular care provision: Opportunities for personalization and customization," International Journal of Production Economics, Elsevier, vol. 142(1), pages 16-26.
    2. de Blok, C. & Luijkx, K.G. & Meijboom, B.R. & Schols, J.M.G.A., 2010. "Improving long-term care provision : Towards demand-based care by means of modularity," Other publications TiSEM bc862890-b8ed-4942-b776-e, Tilburg University, School of Economics and Management.
    3. Soffers, R. & Meijboom, B.R. & van Zaanen, J. & van der Feltz, C.M., 2014. "Modular health services : A single case study approach to the applicability of modularity to residential mental healthcare," Other publications TiSEM e3948e83-f337-4787-9aa8-4, Tilburg University, School of Economics and Management.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Van Dam, Anne & Metz, Margot & Meijboom, Bert, 2021. "Improving customisation in clinical pathways by using a modular perspective," Other publications TiSEM 9ba01ec7-8fa4-4532-8d3a-1, Tilburg University, School of Economics and Management.
    2. Lennips, A. & Peters, V. & Meijboom, B.R. & Nissen, A. & Bunt, J.E., 2024. "Continuity of care for children with anorexia nervosa in the Netherlands : A modular perspective," Other publications TiSEM 9fbf9ea8-264a-4220-9377-7, Tilburg University, School of Economics and Management.
    3. Peters, V.J.T., 2020. "Turning modularity upside down : Patient-centered Down syndrome care from a service modularity perspective," Other publications TiSEM 6cbc0059-91ee-4fa7-a95e-4, Tilburg University, School of Economics and Management.
    4. Pero, Margherita & Stößlein, Martin & Cigolini, Roberto, 2015. "Linking product modularity to supply chain integration in the construction and shipbuilding industries," International Journal of Production Economics, Elsevier, vol. 170(PB), pages 602-615.
    5. Jannis Angelis & Anna Häger Glenngård & Henrik Jordahl, 2021. "Management practices and the quality of primary care," Public Money & Management, Taylor & Francis Journals, vol. 41(3), pages 264-271, April.
    6. Bhamra, Ran & Hicks, Christian & Small, Adrian & García-Villarreal, Enrique, 2022. "Value, product delivery strategies and operational performance in the medical technology industry," International Journal of Production Economics, Elsevier, vol. 245(C).
    7. Philip Worrall & Thierry Chaussalet, 2015. "A structured review of long-term care demand modelling," Health Care Management Science, Springer, vol. 18(2), pages 173-194, June.
    8. Vincent J T Peters & Bert R Meijboom & Jan Erik H Bunt & Levinus A Bok & Marianne W van Steenbergen & J Peter de Winter & Esther de Vries, 2020. "Providing person-centered care for patients with complex healthcare needs: A qualitative study," PLOS ONE, Public Library of Science, vol. 15(11), pages 1-17, November.
    9. Peters, Vincent & Meijboom, Bert & Bunt, Jan Erik & Bok, Vinus & van Steenbergen, M. & de Winter, Peter & de Vries, Esther, 2020. "Providing person-centered care for patients with complex healthcare needs: A qualitative study," Other publications TiSEM 0b45f3fc-0b4a-43ad-b66f-4, Tilburg University, School of Economics and Management.
    10. Soffers, R. & Meijboom, B.R. & van Zaanen, J. & van der Feltz, C.M., 2014. "Modular health services : A single case study approach to the applicability of modularity to residential mental healthcare," Other publications TiSEM e3948e83-f337-4787-9aa8-4, Tilburg University, School of Economics and Management.
    11. Rajak, Manindra & Shaw, Krishnendu, 2019. "Evaluation and selection of mobile health (mHealth) applications using AHP and fuzzy TOPSIS," Technology in Society, Elsevier, vol. 59(C).
    12. Detlef Klimpe & Ludwig Kuntz & Desdemona Möller & Michael Wittland, 2016. "Supply Chain Management für Dienstleistungsunternehmen – Sind Medizinische Versorgungszentren als Mittel der (Downstream) Supply Chain Integration ein Erfolgsmodell für deutsche Krankenhäuser? [Sup," Schmalenbach Journal of Business Research, Springer, vol. 68(1), pages 111-134, April.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:21:p:11129-:d:662698. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.