{"id":"https://openalex.org/W7140226292","doi":"https://doi.org/10.1016/j.procs.2026.03.126","title":"Design of an Intelligent Clinical Treatment Pathway Model: A Holistic System for Sustainable Healthcare Applied to Orthopaedical","display_name":"Design of an Intelligent Clinical Treatment Pathway Model: A Holistic System for Sustainable Healthcare Applied to Orthopaedical","publication_year":2026,"publication_date":"2026-01-01","ids":{"openalex":"https://openalex.org/W7140226292","doi":"https://doi.org/10.1016/j.procs.2026.03.126"},"language":"en","primary_location":{"id":"doi:10.1016/j.procs.2026.03.126","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.procs.2026.03.126","pdf_url":null,"source":{"id":"https://openalex.org/S120348307","display_name":"Procedia Computer Science","issn_l":"1877-0509","issn":["1877-0509"],"is_oa":true,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Procedia Computer Science","raw_type":"journal-article"},"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.1016/j.procs.2026.03.126","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":null,"display_name":"Firmino Oliveira da Silva","orcid":null},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Firmino Oliveira da Silva","raw_affiliation_strings":["CEOS.PP Centre for Organisational and Social Studies of the Polytechnic of Porto, Portugal","ISLA Polytechnic University of Management and Technology, Gaia, Portugal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"CEOS.PP Centre for Organisational and Social Studies of the Polytechnic of Porto, Portugal","institution_ids":[]},{"raw_affiliation_string":"ISLA Polytechnic University of Management and Technology, Gaia, Portugal","institution_ids":[]}]},{"author_position":"middle","author":{"id":null,"display_name":"Helena Gon\u00e7alves","orcid":null},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Helena Gon\u00e7alves","raw_affiliation_strings":["CEOS.PP Centre for Organisational and Social Studies of the Polytechnic of Porto, Portugal","ISLA Polytechnic University of Management and Technology, Gaia, Portugal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"CEOS.PP Centre for Organisational and Social Studies of the Polytechnic of Porto, Portugal","institution_ids":[]},{"raw_affiliation_string":"ISLA Polytechnic University of Management and Technology, Gaia, Portugal","institution_ids":[]}]},{"author_position":"middle","author":{"id":null,"display_name":"Manuel Godinho","orcid":null},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Manuel Godinho","raw_affiliation_strings":["Servi\u00e7o de Ortopedia e Traumatologia do Centro Hospitalar de Entre o Douro e Vouga, Portugal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Servi\u00e7o de Ortopedia e Traumatologia do Centro Hospitalar de Entre o Douro e Vouga, Portugal","institution_ids":[]}]},{"author_position":"last","author":{"id":null,"display_name":"Filipe Ma\u00e7\u00e3es","orcid":null},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Filipe Ma\u00e7\u00e3es","raw_affiliation_strings":["Servi\u00e7o de Ortopedia e Traumatologia do Centro Hospitalar de Vila Nova de Gaia e Espinho, Portugal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Servi\u00e7o de Ortopedia e Traumatologia do Centro Hospitalar de Vila Nova de Gaia e Espinho, Portugal","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.6450252,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"278","issue":null,"first_page":"1404","last_page":"1414"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12664","display_name":"Clinical practice guidelines implementation","score":0.4178999960422516,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12664","display_name":"Clinical practice guidelines implementation","score":0.4178999960422516,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10562","display_name":"Total Knee Arthroplasty Outcomes","score":0.16869999468326569,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.04320000112056732,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/clinical-pathway","display_name":"Clinical pathway","score":0.5932000279426575},{"id":"https://openalex.org/keywords/resource","display_name":"Resource (disambiguation)","score":0.5821999907493591},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.5598999857902527},{"id":"https://openalex.org/keywords/digital-health","display_name":"Digital health","score":0.37400001287460327},{"id":"https://openalex.org/keywords/mechanism","display_name":"Mechanism (biology)","score":0.3578999936580658},{"id":"https://openalex.org/keywords/conceptual-framework","display_name":"Conceptual framework","score":0.34450000524520874},{"id":"https://openalex.org/keywords/scientific-evidence","display_name":"Scientific evidence","score":0.3147999942302704},{"id":"https://openalex.org/keywords/healthcare-system","display_name":"Healthcare system","score":0.302700012922287},{"id":"https://openalex.org/keywords/sustainable-development","display_name":"Sustainable development","score":0.3019999861717224}],"concepts":[{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.6929000020027161},{"id":"https://openalex.org/C2778373050","wikidata":"https://www.wikidata.org/wiki/Q1774706","display_name":"Clinical pathway","level":2,"score":0.5932000279426575},{"id":"https://openalex.org/C206345919","wikidata":"https://www.wikidata.org/wiki/Q20380951","display_name":"Resource (disambiguation)","level":2,"score":0.5821999907493591},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5598999857902527},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.45559999346733093},{"id":"https://openalex.org/C195094911","wikidata":"https://www.wikidata.org/wiki/Q14167904","display_name":"Process management","level":1,"score":0.41819998621940613},{"id":"https://openalex.org/C2780433410","wikidata":"https://www.wikidata.org/wiki/Q5276090","display_name":"Digital health","level":3,"score":0.37400001287460327},{"id":"https://openalex.org/C112930515","wikidata":"https://www.wikidata.org/wiki/Q4389547","display_name":"Risk analysis (engineering)","level":1,"score":0.3720000088214874},{"id":"https://openalex.org/C89611455","wikidata":"https://www.wikidata.org/wiki/Q6804646","display_name":"Mechanism (biology)","level":2,"score":0.3578999936580658},{"id":"https://openalex.org/C14224292","wikidata":"https://www.wikidata.org/wiki/Q13600188","display_name":"Conceptual framework","level":2,"score":0.34450000524520874},{"id":"https://openalex.org/C124056412","wikidata":"https://www.wikidata.org/wiki/Q3320364","display_name":"Scientific evidence","level":2,"score":0.3147999942302704},{"id":"https://openalex.org/C2988170871","wikidata":"https://www.wikidata.org/wiki/Q11000047","display_name":"Healthcare system","level":3,"score":0.302700012922287},{"id":"https://openalex.org/C552854447","wikidata":"https://www.wikidata.org/wiki/Q131201","display_name":"Sustainable development","level":2,"score":0.3019999861717224},{"id":"https://openalex.org/C20162079","wikidata":"https://www.wikidata.org/wiki/Q1151406","display_name":"Case-based reasoning","level":2,"score":0.3012000024318695},{"id":"https://openalex.org/C110354214","wikidata":"https://www.wikidata.org/wiki/Q6314146","display_name":"Engineering management","level":1,"score":0.2994000017642975},{"id":"https://openalex.org/C2986104408","wikidata":"https://www.wikidata.org/wiki/Q179661","display_name":"Clinical treatment","level":2,"score":0.29789999127388},{"id":"https://openalex.org/C21333345","wikidata":"https://www.wikidata.org/wiki/Q1519843","display_name":"Health technology","level":3,"score":0.290800005197525},{"id":"https://openalex.org/C2777958785","wikidata":"https://www.wikidata.org/wiki/Q17120940","display_name":"Resource efficiency","level":2,"score":0.2897000014781952},{"id":"https://openalex.org/C29202148","wikidata":"https://www.wikidata.org/wiki/Q287260","display_name":"Resource allocation","level":2,"score":0.289000004529953},{"id":"https://openalex.org/C120208923","wikidata":"https://www.wikidata.org/wiki/Q5158435","display_name":"Conceptual design","level":2,"score":0.28870001435279846},{"id":"https://openalex.org/C2982822547","wikidata":"https://www.wikidata.org/wiki/Q179661","display_name":"Medical treatment","level":2,"score":0.2870999872684479},{"id":"https://openalex.org/C19527686","wikidata":"https://www.wikidata.org/wiki/Q1665453","display_name":"System integration","level":2,"score":0.27570000290870667},{"id":"https://openalex.org/C3018457447","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Healthcare delivery","level":3,"score":0.27390000224113464},{"id":"https://openalex.org/C2989236134","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Patient care","level":2,"score":0.27309998869895935},{"id":"https://openalex.org/C51332947","wikidata":"https://www.wikidata.org/wiki/Q1172305","display_name":"Shared resource","level":2,"score":0.27219998836517334},{"id":"https://openalex.org/C13606891","wikidata":"https://www.wikidata.org/wiki/Q2623243","display_name":"Conceptual model","level":2,"score":0.2721000015735626},{"id":"https://openalex.org/C539667460","wikidata":"https://www.wikidata.org/wiki/Q2414942","display_name":"Management science","level":1,"score":0.2556999921798706},{"id":"https://openalex.org/C2780609101","wikidata":"https://www.wikidata.org/wiki/Q17156588","display_name":"Resource management (computing)","level":2,"score":0.2549999952316284},{"id":"https://openalex.org/C2780103759","wikidata":"https://www.wikidata.org/wiki/Q5264375","display_name":"Design science","level":2,"score":0.25189998745918274},{"id":"https://openalex.org/C168167062","wikidata":"https://www.wikidata.org/wiki/Q1117970","display_name":"Component (thermodynamics)","level":2,"score":0.25099998712539673},{"id":"https://openalex.org/C18555067","wikidata":"https://www.wikidata.org/wiki/Q8375051","display_name":"Joint (building)","level":2,"score":0.2502000033855438}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1016/j.procs.2026.03.126","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.procs.2026.03.126","pdf_url":null,"source":{"id":"https://openalex.org/S120348307","display_name":"Procedia Computer Science","issn_l":"1877-0509","issn":["1877-0509"],"is_oa":true,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Procedia Computer Science","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1016/j.procs.2026.03.126","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.procs.2026.03.126","pdf_url":null,"source":{"id":"https://openalex.org/S120348307","display_name":"Procedia Computer Science","issn_l":"1877-0509","issn":["1877-0509"],"is_oa":true,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Procedia Computer Science","raw_type":"journal-article"},"sustainable_development_goals":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":17,"referenced_works":["https://openalex.org/W122359400","https://openalex.org/W2099087315","https://openalex.org/W2118965271","https://openalex.org/W2125826182","https://openalex.org/W2949815318","https://openalex.org/W3021879733","https://openalex.org/W3151685851","https://openalex.org/W4220877275","https://openalex.org/W4242303661","https://openalex.org/W4282973101","https://openalex.org/W4289015332","https://openalex.org/W4295409140","https://openalex.org/W4309111267","https://openalex.org/W4311183217","https://openalex.org/W4352978478","https://openalex.org/W4399209424","https://openalex.org/W4401020341"],"related_works":[],"abstract_inverted_index":{"This":[0],"paper":[1],"presents":[2],"the":[3,59,136,153],"design":[4],"of":[5,8,116],"a":[6,20,79,94,131],"model":[7,27],"an":[9],"intelligent":[10],"Clinical":[11],"Treatment":[12],"Pathway":[13],"(CTP)":[14],"applied":[15],"to":[16,37,92,157,164],"orthopaedical,":[17,142],"conceived":[18],"as":[19,67,114,146],"holistic":[21],"system":[22],"for":[23,106],"sustainable":[24,166],"healthcare.":[25],"The":[26,76,161],"integrates":[28],"patient":[29,120,171],"needs,":[30],"healthcare":[31,167],"professionals\u2019":[32],"practices,":[33],"and":[34,43,55,72,87,103,124,150,175],"organizational":[35],"objectives":[36],"improve":[38],"care":[39,57],"quality,":[40,174],"operational":[41],"efficiency,":[42],"resource":[44,74,177],"management.":[45],"Building":[46],"upon":[47],"evidence":[48],"from":[49],"existing":[50],"electronic":[51],"health":[52],"systems,":[53],"telemedicine,":[54],"structured":[56,99],"protocols,":[58],"proposed":[60],"conceptual":[61],"framework":[62,154],"addresses":[63],"persistent":[64],"challenges":[65],"such":[66,145],"fragmented":[68],"workflows,":[69],"unnecessary":[70],"consultations,":[71],"inefficient":[73],"allocation.":[75],"methodology":[77],"follows":[78],"scientific":[80],"approach,":[81],"combining":[82],"literature":[83],"review,":[84],"problem":[85],"analysis,":[86],"designing":[88],"science":[89],"research":[90],"principles":[91],"conceptualize":[93],"pathway":[95],"mechanism":[96],"that":[97],"leverages":[98],"timelines,":[100],"digital":[101,133],"tools,":[102],"machine":[104],"learning":[105],"continuous":[107],"adaptation.":[108],"A":[109],"prototype":[110],"implementation":[111],"is":[112,139,155,163],"outlined":[113],"proof":[115],"concept,":[117],"demonstrating":[118],"how":[119],"data,":[121],"diagnostic":[122],"acts,":[123],"treatment":[125],"decisions":[126],"can":[127],"be":[128],"orchestrated":[129],"in":[130,141],"coordinated":[132],"environment.":[134],"While":[135],"case":[137],"study":[138],"rooted":[140],"with":[143],"scenarios":[144],"elective":[147],"joint":[148],"replacement":[149],"fracture":[151],"management,":[152],"generalizable":[156],"other":[158],"medical":[159],"specialties.":[160],"goal":[162],"foster":[165],"delivery":[168],"by":[169],"balancing":[170],"satisfaction,":[172],"clinical":[173],"efficient":[176],"use.":[178]},"counts_by_year":[],"updated_date":"2026-04-25T08:17:42.794288","created_date":"2026-03-25T00:00:00"}
