Coproducing Aboriginal patient journey mapping tools for improved quality and coordination of care
Janet Kelly A B C , Judith Dwyer A , Tamara Mackean A , Kim O’Donnell A and Eileen Willis AA Faculty of Medicine, Nursing and Health Sciences, Flinders University, GPO Box 2100, Adelaide 5001, Australia.
B Adelaide Nursing School, University of Adelaide, Adelaide, SA 5006, Australia.
C Corresponding author. Email: janet.kelly@adelaide.edu.au
Australian Journal of Primary Health 23(6) 536-542 https://doi.org/10.1071/PY16069
Submitted: 31 May 2016 Accepted: 7 October 2016 Published: 8 December 2016
Journal Compilation © La Trobe University 2017 Open Access CC BY-NC-ND
Abstract
This paper describes the rationale and process for developing a set of Aboriginal patient journey mapping tools with Aboriginal patients, health professionals, support workers, educators and researchers in the Managing Two Worlds Together project between 2008 and 2015. Aboriginal patients and their families from rural and remote areas, and healthcare providers in urban, rural and remote settings, shared their perceptions of the barriers and enablers to quality care in interviews and focus groups, and individual patient journey case studies were documented. Data were thematically analysed. In the absence of suitable existing tools, a new analytical framework and mapping approach was developed. The utility of the tools in other settings was then tested with health professionals, and the tools were further modified for use in quality improvement in health and education settings in South Australia and the Northern Territory. A central set of patient journey mapping tools with flexible adaptations, a workbook, and five sets of case studies describing how staff adapted and used the tools at different sites are available for wider use.
Additional keywords: Aboriginal health services, action research, continuity of patient care, hospitals, patient-centred care, rural health.
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