背景:旅程地图是可视化工具,可以通过兴趣或功能促进利益相关者群体的图解表示,以进行比较的视觉分析。因此,旅程地图可以说明使用产品或服务的组织和消费者之间的交集和关系。我们建议在旅程图和学习卫生系统(LHS)的概念之间可能存在一些协同作用。LHS的总体目标是使用医疗保健数据来告知临床实践并改善服务交付流程和患者结果。
目的:这篇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。具体来说,在这项研究中,我们探索了文献的现状,以回答以下研究问题:(1)文献中的旅程制图技术与LHS之间是否存在关系?(2)是否有将旅程制图活动的数据集成到LHS中的方法?(3)如何将从旅程地图活动中收集的数据用于通知LHS?
:方法通过查询以下电子数据库进行了Coscope,系统审查:IEEEXplore,PubMed,WebofScience,学术搜索完成(EBSCOhost),APAPsycInfo(EBSCOhost),CINAHL(EBSCOhost),和MEDLINE(EBSCOhost)。两名研究人员应用了纳入标准,并在第一个屏幕中通过标题和摘要评估了所有文章,使用Covidence。在此之后,对收录的文章进行了全文审查,提取相关数据,列表,并按主题进行评估。
结果:最初的搜索产生了694项研究。其中,移除179个重复。在此之后,在第一个筛选阶段评估了515篇文章,412被排除在外,因为他们不符合纳入标准。接下来,全文阅读了103篇文章,95人被排除在外,最终得到8篇满足纳入标准的文章。文章样本可以分为2个总体主题:(1)需要发展医疗保健服务提供模式,(2)在LHS中使用患者旅程数据的潜在价值。
结论:本范围审查表明,在将旅程制图活动的数据整合到LHS方面存在知识差距。我们的发现强调了使用患者经验数据丰富LHS并提供整体护理的重要性。为了满足这个差距,作者打算继续这项研究,以建立旅程图和LHS概念之间的关系.此范围审查将作为调查系列的第一阶段。第二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的数据集成。最后,第3阶段将提供概念证明,以演示如何将患者旅程映射活动集成到LHS中。
BACKGROUND: 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.
OBJECTIVE: 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?
METHODS: 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.
RESULTS: 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.
CONCLUSIONS: 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.