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First Peoples

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This paper describes the patient journey mapping tools and frameworks used in the Managing Two Worlds Together (MTWT) Project.

We sought to explore the barriers and enablers, gaps and strategies in relation to country Aboriginal patient journeys from rural and remote locations to city hospitals and return, from the perspective of the patient/client, their carer/ family, and local health care providers. Over the past decade, patient journey modelling and mapping have been used to highlight gaps in access, continuity and quality of care.
A range of methods including interviews, focus groups, review of health service care plans and observation of a patient’s actual journey from diagnosis to completion, have been used for specific conditions such as cardiac care (Lawrence et al. 2009; Rolley et al. 2009), Parkinson’s disease (Baker & Graham 2004) and diabetes (Wiebe 2011). Other projects have focused on modelling within-hospital care processes to analyse patient flow (e.g., Ben-Tovim et al. 2008; Richardson, Casey & Hider 2007) or for safety and quality purposes (ACSQHC 2010).

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