Joseph Amanda L, Monkman Helen, Kushniruk Andre, Quintana Yuri
School of Health Information Science, University of Victoria, Victoria, BC, Canada.
Homewood Research Institute, Guelph, ON, Canada.
JMIR Hum Factors. 2023 Feb 27;10:e43966. doi: 10.2196/43966.
Journey maps are visualization tools that can facilitate the diagrammatical representation of stakeholder groups by interest or function for comparative visual analysis. Therefore, journey maps can illustrate intersections and relationships between organizations and consumers using products or services. We propose that some synergies may exist between journey maps and the concept of a learning health system (LHS). The overarching goal of an LHS is to use health care data to inform clinical practice and improve service delivery processes and patient outcomes.
The purpose of this review was to assess the literature and establish a relationship between journey mapping techniques and LHSs. Specifically, in this study, we explored the current state of the literature to answer the following research questions: (1) Is there a relationship between journey mapping techniques and an LHS in the literature? (2) Is there a way to integrate the data from journey mapping activities into an LHS? (3) How can the data gleaned from journey map activities be used to inform an LHS?
A scoping review was conducted by querying the following electronic databases: Cochrane Database of Systematic Reviews (Ovid), IEEE Xplore, PubMed, Web of Science, Academic Search Complete (EBSCOhost), APA PsycInfo (EBSCOhost), CINAHL (EBSCOhost), and MEDLINE (EBSCOhost). Two researchers applied the inclusion criteria and assessed all articles by title and abstract in the first screen, using Covidence. Following this, a full-text review of included articles was done, with relevant data extracted, tabulated, and assessed thematically.
The initial search yielded 694 studies. Of those, 179 duplicates were removed. Following this, 515 articles were assessed during the first screening phase, and 412 were excluded, as they did not meet the inclusion criteria. Next, 103 articles were read in full, and 95 were excluded, resulting in a final sample of 8 articles that satisfied the inclusion criteria. The article sample can be subsumed into 2 overarching themes: (1) the need to evolve service delivery models in health care, and (2) the potential value of using patient journey data in an LHS.
This scoping review demonstrated the gap in knowledge regarding integrating the data from journey mapping activities into an LHS. Our findings highlighted the importance of using the data from patient experiences to enrich an LHS and provide holistic care. To satisfy this gap, the authors intend to continue this investigation to establish the relationship between journey mapping and the concept of LHSs. This scoping review will serve as phase 1 of an investigative series. Phase 2 will entail the creation of a holistic framework to guide and streamline data integration from journey mapping activities into an LHS. Lastly, phase 3 will provide a proof of concept to demonstrate how patient journey mapping activities could be integrated into an LHS.
旅程地图是一种可视化工具，可通过利益或功能对利益相关者群体进行图解表示，以进行比较性视觉分析。因此，旅程地图可以说明组织与使用产品或服务的消费者之间的交叉点和关系。我们认为旅程地图与学习型健康系统（LHS）的概念之间可能存在一些协同作用。LHS的总体目标是利用医疗保健数据为临床实践提供信息，并改善服务提供流程和患者结局。
本综述的目的是评估文献，并建立旅程映射技术与LHS之间的关系。具体而言，在本研究中，我们探索了文献的现状，以回答以下研究问题：（1）文献中旅程映射技术与LHS之间是否存在关系？（2）是否有办法将旅程映射活动的数据整合到LHS中？（3）如何利用从旅程地图活动中收集的数据为LHS提供信息？
通过查询以下电子数据库进行了范围综述：Cochrane系统评价数据库（Ovid）、IEEE Xplore、PubMed、科学网、学术搜索完整版（EBSCOhost）、美国心理学会心理学文摘数据库（EBSCOhost）、护理学与健康领域数据库（EBSCOhost）和医学期刊数据库（EBSCOhost）。两名研究人员应用纳入标准，并在第一轮筛选中通过标题和摘要评估所有文章，使用Covidence软件。在此之后，对纳入文章进行了全文审查，提取了相关数据，制成表格，并进行了主题评估。
初步搜索产生了694项研究。其中，删除了179项重复研究。在此之后，在第一轮筛选阶段评估了515篇文章，412篇因不符合纳入标准而被排除。接下来，对103篇文章进行了全文阅读，95篇被排除，最终样本为8篇符合纳入标准的文章。文章样本可归纳为两个总体主题：（1）医疗保健中服务提供模式演变的必要性，以及（2）在LHS中使用患者旅程数据的潜在价值。
本范围综述表明，在将旅程映射活动的数据整合到LHS方面存在知识空白。我们的研究结果强调了利用患者体验数据丰富LHS并提供整体护理的重要性。为了填补这一空白，作者打算继续这项调查，以建立旅程映射与LHS概念之间的关系。本范围综述将作为调查系列的第1阶段。第2阶段将需要创建一个整体框架，以指导和简化从旅程映射活动到LHS的数据整合。最后，第3阶段将提供一个概念验证，以展示如何将患者旅程映射活动整合到LHS中。
