Adult Occupational Therapy and Physiotherapy Services in the Kivalliq Region of Nunavut: Feasibility of Mapping the Client Journey

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Date
2021
Authors
Achtemichuk, Monica
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Abstract
Since 2000, following a community needs assessment, the Government of Nunavut has funded and Ongomiizwin – Health Services has coordinated Occupational Therapy (OT) and Physiotherapy (PT) services in the Kivalliq Region of Nunavut. There has been no formal evaluation since the inception. The student researcher conducted a feasibility study on client journey mapping with adult Inuit OT and PT clients. Using program utilization data, descriptive statistics were used to identify adult OT and PT clients with high utilization of services to determine clients for journey mapping. Client journey mapping is a methodology that can help us to understand a series of health care events by exploring the patient experience from their perspective and looks for opportunities to make improvements. The Managing Two Worlds Together Patient Journeys workbook (Kelly, Dwyer, et al., 2016) was adapted to focus on OT and PT services, and for use in Nuanvut with Inuit OT and PT clients. Relevant areas of focus for feasibility studies were selected as the method to determine feasibility of client journey mapping with OT and PT clients in the region. The adapted client journey mapping tool was found to be feasible for ongoing program evaluation and could be considered for use in other regions of Nunavut. Further suggestions to adapt the tool incorporating Inuit Qaujimajatuqangit (IQ) principles (Inuit traditional knowledge) and aspects of cultural safety and decolonization frameworks were proposed. Program utilization data and the adapted client journey mapping tool can provide additional knowledge on OT and PT adult services for program improvement.
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Keywords
occupational therapy, physiotherapy, Indigenous, Inuit, program utilization, journey mapping, program evaluation, rural and remote
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