Semin Hear 2012; 33(01): 009-015
DOI: 10.1055/s-0032-1304723
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

A Possible Patient Journey: A Tool to Facilitate Patient-Centered Care

Melanie Gregory
1   IDA Institute, Naerum, Denmark.
› Author Affiliations
Further Information

Publication History

Publication Date:
20 March 2012 (online)


The concept of a patient journey provides a framework for understanding the complex phases and numerous milestones of life with hearing loss from the perspective of the patient. This understanding can facilitate patient-centered care, which has been found to increase patient satisfaction with the clinical encounter, encourage patients to participate in the rehabilitation process, and result in treatment and outcomes that reflect the needs and wishes of the individual. By being curious about the most significant aspects of an individual's journey and understanding the events that trigger action for a patient, the audiologist can engage the patient as joint decision makers in the treatment plan. The Ida Institute developed the Possible Patient Journey tool to assist audiologists in taking the patient's point of view into account. It is one way of illustrating the patient journey and is designed to support clinicians and students in visualizing or “mapping” the patient journey. The journey tool may be used as a starting point for understanding the patient's story. It enables the audiologist to engage the patient and focus on areas of behavior changes that are important to him or her. By understanding the patient journey, audiologists can address the entire patient experience and collaborate with patients to gain better outcomes.

  • References

  • 1 Laplante-Lévesque A, Hickson L, Worrall L. Promoting participation of adults with acquired hearing impairment. JARA 2010; 43: 11-26
  • 2 Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academy Press; 2001
  • 3 Layton A, Moss F, Morgan G. Mapping out the patient's journey: experiences of developing pathways of care. Qual Health Care 1998; 7 (Suppl) S30-S36
  • 4 Stewart MA, Brown JB, Weston WW, McWhinney IR, McWilliam CL, Freeman TR. Patient-Centered Medicine: Transforming the Clinical Method. 2nd ed. Oxon, UK: Radcliffe Medical Press; 2003
  • 5 English K. Relationship centered care. Paper presented at: The Ida Institute seminar series “Defining Hearing”; 2009; Skodsborg, Denmark
  • 6 Miller W, Rollnick S. Motivational Interviewing: Preparing People for Change. 2nd ed. New York, NY: Guilford Press; 2002
  • 7 Tresolini CP. Health Professions Education and Relationship-Centered Care. San Francisco, CA: Pew Health Professions Commission; 1994
  • 8 Abdel-Tawab N, Roter D. The relevance of client-centered communication to family planning settings in developing countries: lessons from the Egyptian experience. Soc Sci Med 2002; 54: 1357-1368
  • 9 Tresolini CP, Shugans D. Expanding the biomedical model: interviews with medical educators. Paper presented at: Annual Meeting of the American Educational Research Association; April 1993; Atlanta, GA
  • 10 Laplante-Lévesque A, Hickson L, Worrall L. A qualitative study of shared decision making in rehabilitative audiology. JARA 2010; 43: 27-43
  • 11 English K, Weist D. Growth of AuD programs found to increase training in counseling. Hear J 2005; 58: 54-55
  • 12 Ruzixka J. Technology for the patient journey. Hear Rev 2006, March/April. Available at: . Accessed February 11, 2012
  • 13 Engelund G. Time for Hearing—Recognizing Process for the Individual. A Grounded Theory [Ph.D. dissertation]. Copenhagen University; 2006
  • 14 Trychin S. Factors to consider when providing audiological services to people who have hearing loss and their communication partners. Semin in Hearing 2012; 33: 87-96
  • 15 Ida Institute. (2009). A possible patient journey. Available at: . Accessed February 11, 2012