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The Pediatric Growth Hormone Deficiency Patient Journey: Identifying Opportunities for Digital Health Interventions
Guido Giunti1,2, Fulvio Michelis3, Ammar Halabi3
1University of Oulu, Oulu, Finland.
Insights
A new patient journey map for pediatric growth hormone deficiency (PGHD) identifies key challenges. This map offers insights for improving care and long-term outcomes for children with PGHD.
Area of Science:
- Pediatric Endocrinology
- Patient Experience Research
- Digital Health
Background:
- Pediatric growth hormone deficiency (PGHD) is a chronic condition impacting growth and development.
- Understanding the patient journey is crucial for identifying unmet needs and improving care.
- No comprehensive patient journey map currently exists for PGHD.
Purpose of the Study:
- To develop the first detailed patient journey map for pediatric growth hormone deficiency (PGHD).
- To identify key challenges and emotional sensitivities experienced by patients and caregivers throughout the PGHD journey.
- To pinpoint opportunities for targeted interventions to enhance care and improve long-term outcomes.
Main Methods:
- Secondary data analysis of interviews and focus groups from 62 patients and caregivers across five European countries.
- Utilized a prototype digital health solution to guide discussions.
- Applied grounded theory methodology for data analysis.
Main Results:
- Developed a six-stage patient journey map for PGHD: awareness, diagnosis, treatment planning, treatment initiation, treatment maintenance, and transition.
- Revealed specific emotional sensitivities and challenges at each stage of the journey.
- Highlighted areas for potential intervention to improve patient adherence and outcomes.
Conclusions:
- The developed PGHD patient journey map provides a novel framework for understanding the patient experience.
- Identified critical points for intervention can lead to enhanced support and better management of PGHD.
- This research offers valuable insights for healthcare providers, policymakers, and digital health developers aiming to improve care for children with PGHD.
Abstract:
Pediatric growth hormone deficiency (PGHD) is a chronic condition where the pituitary gland fails to produce sufficient growth hormone, leading to delayed growth and developmental challenges. Patient journey maps can provide insight into pain points and potential opportunities for new or improved interventions to enhance care. However, a patient journey map does not yet exist for PGHD. Secondary data analysis was performed on interviews and focus groups from five cohorts in Sweden, the United Kingdom, Luxembourg, France, and The Netherlands. Participants included 62 patients and caregivers who used a prototype digital health solution, which was used to guide discussions. Grounded theory was used to analyze the data, resulting in a patient journey map comprising six stages: awareness, diagnosis, treatment planning, treatment initiation, treatment maintenance and transition. This provides the first detailed PGHD patient journey map, revealing emotional sensitivities and challenges at each stage, and suggesting areas for targeted interventions to improve adherence and long-term outcomes.
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