A qualitative exploration of the patient journey in axial spondyloarthritis towards a people-centered understanding.

Sci Rep

Department of Dermatology and Allergy, TUM School of Medicine and Health, Technical University of Munich, Biedersteiner Str. 29, 80802, Munich, Germany.

Published: August 2024

AI Article Synopsis

  • * The findings revealed a complex and fragmented healthcare experience, particularly during diagnosis, which often served as a pivotal moment for improved care coordination, but also introduced new challenges.
  • * The study emphasizes the importance of integrating personal experiences, comorbidities, and social contexts into healthcare practices to better meet patients' diverse needs and enhance treatment effectiveness.

Article Abstract

This exploratory qualitative study aims to gain a people-centered understanding of the patient journey in axial spondyloarthritis (axSpA). Semi-structured interviews were conducted with 15 individuals diagnosed with axSpA, aged 18 years and older, who were purposively recruited from a rheumatologic practice in southern Germany. The interviews were carried out as web-based video calls between September and October 2021, audio-recorded, transcribed verbatim, and analyzed according to Kuckartz's qualitative content analysis. Patient journey narratives encompassed both healthcare journeys and personal journeys. Healthcare journeys were characterized as fragmented and difficult to navigate, with diagnosis often marking a turning point toward more coordinated care. Post-diagnosis, new challenges emerged (e.g., time management for treatment). Personal journeys comprised perceptions of axSpA in social contexts (e.g., stigmatization) and the continuous interplay of comorbidities and biographical events with healthcare related to axSpA. This study proposes a people-centered perspective on the patient journey in axSpA, emphasizing the interplay of biographies, comorbidities, and social context with healthcare events. Recognizing these personal factors in clinical practice is encouraged to address complex health needs and tailor treatment to each individual. Further efforts should promote collaboration between medical disciplines and integrate healthcare and social support at all stages of the axSpA patient journey.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11358462PMC
http://dx.doi.org/10.1038/s41598-024-70420-8DOI Listing

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