Journey mapping as a novel approach to healthcare: a qualitative mixed methods study in palliative care.

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  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : BioMed Central, [2001-
    • Subject Terms:
      Hospice and Palliative Care Nursing* ; Palliative Care*; Australia ; Delivery of Health Care ; Humans ; Qualitative Research
    • 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.
      (© 2021. The Author(s).)
    • References:
      J Palliat Med. 2007 Feb;10(1):99-110. (PMID: 17298258)
      Int J Med Inform. 2007 Feb-Mar;76(2-3):234-45. (PMID: 16798071)
      J Clin Oncol. 2015 May 1;33(13):1438-45. (PMID: 25800768)
      Palliat Care. 2017 Feb 20;10:1178224216688887. (PMID: 28469439)
      Eval Program Plann. 2009 May;32(2):119-28. (PMID: 19121868)
      Med J Aust. 2008 Mar 17;188(S6):S14-7. (PMID: 18341470)
      N Engl J Med. 2010 Aug 19;363(8):733-42. (PMID: 20818875)
      Palliat Med. 2013 Dec;27(10):885-98. (PMID: 23322647)
      BMC Med Res Methodol. 2005 Dec 01;5:37. (PMID: 16321161)
      J Pain Symptom Manage. 2016 Jun;51(6):1027-32. (PMID: 26948411)
      BMJ. 2010 Aug 13;341:c4078. (PMID: 20709715)
    • Contributed Indexing:
      Keywords: Health services research; Illness trajectory; Medical informatics; Palliative care; Patient journey mapping; Patient-centred care; Proactive healthcare
    • Publication Date:
      Date Created: 20210904 Date Completed: 20210907 Latest Revision: 20210910
    • Publication Date:
      20240105
    • Accession Number:
      PMC8417950
    • Accession Number:
      10.1186/s12913-021-06934-y
    • Accession Number:
      34479541