Journey mapping as a novel approach to healthcare: a qualitative mixed methods study in palliative care
Abstract Background Journey mapping involves the creation of visual narrative timelines depicting the multidimensional relationship between a consumer and a service. The use of journey maps in medical research is a novel and innovative approach to understanding patient healthcare encounters. Objecti...
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| Format: | Article |
| Language: | English |
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BMC
2021-09-01
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| Series: | BMC Health Services Research |
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| Online Access: | https://doi.org/10.1186/s12913-021-06934-y |
| _version_ | 1819116243914850304 |
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| author | Stephanie Ly Fiona Runacres Peter Poon |
| author_facet | Stephanie Ly Fiona Runacres Peter Poon |
| author_sort | Stephanie Ly |
| collection | DOAJ |
| description | Abstract Background Journey mapping involves the creation of visual narrative timelines depicting the multidimensional relationship between a consumer and a service. The use of journey maps in medical research is a novel and innovative approach to understanding patient healthcare encounters. Objectives To determine possible applications of journey mapping in medical research and the clinical setting. Specialist palliative care services were selected as the model to evaluate this paradigm, as there are numerous evidence gaps and inconsistencies in the delivery of care that may be addressed using this tool. Methods A purposive convenience sample of specialist palliative care providers from the Supportive and Palliative Care unit of a major Australian tertiary health service were invited to evaluate journey maps illustrating the final year of life of inpatient palliative care patients. Sixteen maps were purposively selected from a sample of 104 consecutive patients. This study utilised a qualitative mixed-methods approach, incorporating a modified Delphi technique and thematic analysis in an online questionnaire. Results Our thematic and Delphi analyses were congruent, with consensus findings consistent with emerging themes. Journey maps provided a holistic patient-centred perspective of care that characterised healthcare interactions within a longitudinal trajectory. Through these journey maps, participants were able to identify barriers to effective palliative care and opportunities to improve care delivery by observing patterns of patient function and healthcare encounters over multiple settings. Conclusions This unique qualitative study noted many promising applications of the journey mapping suitable for extrapolation outside of the palliative care setting as a review and audit tool, or a mechanism for providing proactive patient-centred care. This is particularly significant as machine learning and big data is increasingly applied to healthcare. |
| first_indexed | 2024-12-22T05:14:00Z |
| format | Article |
| id | doaj.art-93eafb34d88e4920bd04c48e28420ff0 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-22T05:14:00Z |
| publishDate | 2021-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-93eafb34d88e4920bd04c48e28420ff02022-12-21T18:37:55ZengBMCBMC Health Services Research1472-69632021-09-012111910.1186/s12913-021-06934-yJourney mapping as a novel approach to healthcare: a qualitative mixed methods study in palliative careStephanie Ly0Fiona Runacres1Peter Poon2Faculty of Medicine Nursing and Health Sciences, Monash UniversityFaculty of Medicine Nursing and Health Sciences, Monash UniversityFaculty of Medicine Nursing and Health Sciences, Monash UniversityAbstract Background Journey mapping involves the creation of visual narrative timelines depicting the multidimensional relationship between a consumer and a service. The use of journey maps in medical research is a novel and innovative approach to understanding patient healthcare encounters. Objectives To determine possible applications of journey mapping in medical research and the clinical setting. Specialist palliative care services were selected as the model to evaluate this paradigm, as there are numerous evidence gaps and inconsistencies in the delivery of care that may be addressed using this tool. Methods A purposive convenience sample of specialist palliative care providers from the Supportive and Palliative Care unit of a major Australian tertiary health service were invited to evaluate journey maps illustrating the final year of life of inpatient palliative care patients. Sixteen maps were purposively selected from a sample of 104 consecutive patients. This study utilised a qualitative mixed-methods approach, incorporating a modified Delphi technique and thematic analysis in an online questionnaire. Results Our thematic and Delphi analyses were congruent, with consensus findings consistent with emerging themes. Journey maps provided a holistic patient-centred perspective of care that characterised healthcare interactions within a longitudinal trajectory. Through these journey maps, participants were able to identify barriers to effective palliative care and opportunities to improve care delivery by observing patterns of patient function and healthcare encounters over multiple settings. Conclusions This unique qualitative study noted many promising applications of the journey mapping suitable for extrapolation outside of the palliative care setting as a review and audit tool, or a mechanism for providing proactive patient-centred care. This is particularly significant as machine learning and big data is increasingly applied to healthcare.https://doi.org/10.1186/s12913-021-06934-yPatient journey mappingHealth services researchPalliative careIllness trajectoryProactive healthcareMedical informatics |
| spellingShingle | Stephanie Ly Fiona Runacres Peter Poon Journey mapping as a novel approach to healthcare: a qualitative mixed methods study in palliative care BMC Health Services Research Patient journey mapping Health services research Palliative care Illness trajectory Proactive healthcare Medical informatics |
| title | Journey mapping as a novel approach to healthcare: a qualitative mixed methods study in palliative care |
| title_full | Journey mapping as a novel approach to healthcare: a qualitative mixed methods study in palliative care |
| title_fullStr | Journey mapping as a novel approach to healthcare: a qualitative mixed methods study in palliative care |
| title_full_unstemmed | Journey mapping as a novel approach to healthcare: a qualitative mixed methods study in palliative care |
| title_short | Journey mapping as a novel approach to healthcare: a qualitative mixed methods study in palliative care |
| title_sort | journey mapping as a novel approach to healthcare a qualitative mixed methods study in palliative care |
| topic | Patient journey mapping Health services research Palliative care Illness trajectory Proactive healthcare Medical informatics |
| url | https://doi.org/10.1186/s12913-021-06934-y |
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