{"id":22675,"date":"2012-11-28T11:34:32","date_gmt":"2012-11-28T10:34:32","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=22675"},"modified":"2012-11-28T11:34:32","modified_gmt":"2012-11-28T10:34:32","slug":"muir-gray-defining-the-pathway-for-population-systems-of-care","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2012\/11\/28\/muir-gray-defining-the-pathway-for-population-systems-of-care\/","title":{"rendered":"Muir Gray: Defining the pathway for population systems of care"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/www.bmj.com\/site\/blog\/icons\/muir_gray.jpg\" alt=\"Muir Gray\" width=\"160\" height=\"110\" align=\"left\" \/><em>Read the rest of this series of blogs about designing and planning population based systems of care <a href=\"https:\/\/blogs.bmj.com\/bmj\/category\/muir-gray\/\">here<\/a>.<\/em><\/p>\n<p><strong>Step 7: Defining the pathway<\/strong><\/p>\n<p>The pathway is the route the patient usually takes through the system. NICE produces pathways, but these need to be localised using the Map of Medicine or the Pathways for Health software.<!--more--><\/p>\n<p>The benefit of defining the pathways lies in the debate that is involved in its creation, often the clinicians involved, from different parts of the network. Pathway design is a social process and it is important to appreciate that pathways are not necessarily to be consulted in every consultation, but they represent an agreement about what should happen in a population<\/p>\n<p>When modifying a national template there are three issues that need to be discussed:<\/p>\n<p>1. what must not be changed e.g. a key drug dosage.<\/p>\n<p>2. what must be changed e.g.key local telephone numbers\u2014prepare the pathway with a newly arrived member of staff in mind.<\/p>\n<p>3. what is uncertain and can be localised one way or another, or perhaps be the subject of research\u2014the views of patients and carers are, as always, valuable.<\/p>\n<p><em><strong>Muir Gray<\/strong> is visiting professor of knowledge management, Nuffield Department of Surgery, University of Oxford. <\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Read the rest of this series of blogs about designing and planning population based systems of care here. Step 7: Defining the pathway The pathway is the route the patient [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2012\/11\/28\/muir-gray-defining-the-pathway-for-population-systems-of-care\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2087],"tags":[],"class_list":["post-22675","post","type-post","status-publish","format-standard","hentry","category-muir-gray"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Muir Gray: Defining the pathway for population systems of care - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2012\/11\/28\/muir-gray-defining-the-pathway-for-population-systems-of-care\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Muir Gray: Defining the pathway for population systems of care - The BMJ\" \/>\n<meta property=\"og:description\" content=\"Read the rest of this series of blogs about designing and planning population based systems of care here. Step 7: Defining the pathway The pathway is the route the patient [...]More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/bmj\/2012\/11\/28\/muir-gray-defining-the-pathway-for-population-systems-of-care\/\" \/>\n<meta property=\"og:site_name\" content=\"The BMJ\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/bmjdotcom\/\" \/>\n<meta property=\"article:published_time\" content=\"2012-11-28T10:34:32+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/www.bmj.com\/site\/blog\/icons\/muir_gray.jpg\" \/>\n<meta name=\"author\" content=\"BMJ\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:site\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"BMJ\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2012\\\/11\\\/28\\\/muir-gray-defining-the-pathway-for-population-systems-of-care\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2012\\\/11\\\/28\\\/muir-gray-defining-the-pathway-for-population-systems-of-care\\\/\"},\"author\":{\"name\":\"BMJ\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\"},\"headline\":\"Muir Gray: Defining the pathway for population systems of care\",\"datePublished\":\"2012-11-28T10:34:32+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2012\\\/11\\\/28\\\/muir-gray-defining-the-pathway-for-population-systems-of-care\\\/\"},\"wordCount\":215,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2012\\\/11\\\/28\\\/muir-gray-defining-the-pathway-for-population-systems-of-care\\\/#primaryimage\"},\"thumbnailUrl\":\"http:\\\/\\\/www.bmj.com\\\/site\\\/blog\\\/icons\\\/muir_gray.jpg\",\"articleSection\":[\"Muir Gray\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2012\\\/11\\\/28\\\/muir-gray-defining-the-pathway-for-population-systems-of-care\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2012\\\/11\\\/28\\\/muir-gray-defining-the-pathway-for-population-systems-of-care\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2012\\\/11\\\/28\\\/muir-gray-defining-the-pathway-for-population-systems-of-care\\\/\",\"name\":\"Muir Gray: Defining the pathway for population systems of care - The BMJ\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2012\\\/11\\\/28\\\/muir-gray-defining-the-pathway-for-population-systems-of-care\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2012\\\/11\\\/28\\\/muir-gray-defining-the-pathway-for-population-systems-of-care\\\/#primaryimage\"},\"thumbnailUrl\":\"http:\\\/\\\/www.bmj.com\\\/site\\\/blog\\\/icons\\\/muir_gray.jpg\",\"datePublished\":\"2012-11-28T10:34:32+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2012\\\/11\\\/28\\\/muir-gray-defining-the-pathway-for-population-systems-of-care\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2012\\\/11\\\/28\\\/muir-gray-defining-the-pathway-for-population-systems-of-care\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2012\\\/11\\\/28\\\/muir-gray-defining-the-pathway-for-population-systems-of-care\\\/#primaryimage\",\"url\":\"http:\\\/\\\/www.bmj.com\\\/site\\\/blog\\\/icons\\\/muir_gray.jpg\",\"contentUrl\":\"http:\\\/\\\/www.bmj.com\\\/site\\\/blog\\\/icons\\\/muir_gray.jpg\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2012\\\/11\\\/28\\\/muir-gray-defining-the-pathway-for-population-systems-of-care\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Muir Gray: Defining the pathway for population systems of care\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#website\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\",\"name\":\"The BMJ\",\"description\":\"Helping doctors make better decisions.\",\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\",\"name\":\"The BMJ\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2018\\\/05\\\/The-BMJ-logo.jpg\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2018\\\/05\\\/The-BMJ-logo.jpg\",\"width\":852,\"height\":568,\"caption\":\"The BMJ\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/bmjdotcom\\\/\",\"https:\\\/\\\/x.com\\\/bmj_latest\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\",\"name\":\"BMJ\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"caption\":\"BMJ\"},\"sameAs\":[\"https:\\\/\\\/blogs.bmj.com\\\/\"],\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/author\\\/admin\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Muir Gray: Defining the pathway for population systems of care - The BMJ","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/blogs.bmj.com\/bmj\/2012\/11\/28\/muir-gray-defining-the-pathway-for-population-systems-of-care\/","og_locale":"en_US","og_type":"article","og_title":"Muir Gray: Defining the pathway for population systems of care - The BMJ","og_description":"Read the rest of this series of blogs about designing and planning population based systems of care here. Step 7: Defining the pathway The pathway is the route the patient [...]More...","og_url":"https:\/\/blogs.bmj.com\/bmj\/2012\/11\/28\/muir-gray-defining-the-pathway-for-population-systems-of-care\/","og_site_name":"The BMJ","article_publisher":"https:\/\/www.facebook.com\/bmjdotcom\/","article_published_time":"2012-11-28T10:34:32+00:00","og_image":[{"url":"http:\/\/www.bmj.com\/site\/blog\/icons\/muir_gray.jpg","type":"","width":"","height":""}],"author":"BMJ","twitter_card":"summary_large_image","twitter_creator":"@bmj_latest","twitter_site":"@bmj_latest","twitter_misc":{"Written by":"BMJ","Est. reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/blogs.bmj.com\/bmj\/2012\/11\/28\/muir-gray-defining-the-pathway-for-population-systems-of-care\/#article","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2012\/11\/28\/muir-gray-defining-the-pathway-for-population-systems-of-care\/"},"author":{"name":"BMJ","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/person\/ba3da426ed20e8f1d933ca367d8216fe"},"headline":"Muir Gray: Defining the pathway for population systems of care","datePublished":"2012-11-28T10:34:32+00:00","mainEntityOfPage":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2012\/11\/28\/muir-gray-defining-the-pathway-for-population-systems-of-care\/"},"wordCount":215,"commentCount":0,"publisher":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#organization"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2012\/11\/28\/muir-gray-defining-the-pathway-for-population-systems-of-care\/#primaryimage"},"thumbnailUrl":"http:\/\/www.bmj.com\/site\/blog\/icons\/muir_gray.jpg","articleSection":["Muir Gray"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/blogs.bmj.com\/bmj\/2012\/11\/28\/muir-gray-defining-the-pathway-for-population-systems-of-care\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/blogs.bmj.com\/bmj\/2012\/11\/28\/muir-gray-defining-the-pathway-for-population-systems-of-care\/","url":"https:\/\/blogs.bmj.com\/bmj\/2012\/11\/28\/muir-gray-defining-the-pathway-for-population-systems-of-care\/","name":"Muir Gray: Defining the pathway for population systems of care - The BMJ","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#website"},"primaryImageOfPage":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2012\/11\/28\/muir-gray-defining-the-pathway-for-population-systems-of-care\/#primaryimage"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2012\/11\/28\/muir-gray-defining-the-pathway-for-population-systems-of-care\/#primaryimage"},"thumbnailUrl":"http:\/\/www.bmj.com\/site\/blog\/icons\/muir_gray.jpg","datePublished":"2012-11-28T10:34:32+00:00","breadcrumb":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2012\/11\/28\/muir-gray-defining-the-pathway-for-population-systems-of-care\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/blogs.bmj.com\/bmj\/2012\/11\/28\/muir-gray-defining-the-pathway-for-population-systems-of-care\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/bmj\/2012\/11\/28\/muir-gray-defining-the-pathway-for-population-systems-of-care\/#primaryimage","url":"http:\/\/www.bmj.com\/site\/blog\/icons\/muir_gray.jpg","contentUrl":"http:\/\/www.bmj.com\/site\/blog\/icons\/muir_gray.jpg"},{"@type":"BreadcrumbList","@id":"https:\/\/blogs.bmj.com\/bmj\/2012\/11\/28\/muir-gray-defining-the-pathway-for-population-systems-of-care\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/blogs.bmj.com\/bmj\/"},{"@type":"ListItem","position":2,"name":"Muir Gray: Defining the pathway for population systems of care"}]},{"@type":"WebSite","@id":"https:\/\/blogs.bmj.com\/bmj\/#website","url":"https:\/\/blogs.bmj.com\/bmj\/","name":"The BMJ","description":"Helping doctors make better decisions.","publisher":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/blogs.bmj.com\/bmj\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/blogs.bmj.com\/bmj\/#organization","name":"The BMJ","url":"https:\/\/blogs.bmj.com\/bmj\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/logo\/image\/","url":"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/05\/The-BMJ-logo.jpg","contentUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/05\/The-BMJ-logo.jpg","width":852,"height":568,"caption":"The BMJ"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/bmjdotcom\/","https:\/\/x.com\/bmj_latest"]},{"@type":"Person","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/person\/ba3da426ed20e8f1d933ca367d8216fe","name":"BMJ","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","caption":"BMJ"},"sameAs":["https:\/\/blogs.bmj.com\/"],"url":"https:\/\/blogs.bmj.com\/bmj\/author\/admin\/"}]}},"_links":{"self":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/22675","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/comments?post=22675"}],"version-history":[{"count":0,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/22675\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media?parent=22675"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/categories?post=22675"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/tags?post=22675"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}