Impact of social determinants of health on individuals living with generalized myasthenia gravis and implications for patient support programs

IntroductionSocial determinants of health (SDOH) are important contributors to health outcomes, and better understanding their impact on individuals diagnosed with rare, chronic diseases with high burden and unmet need is critical. Characterizing SDOH burden can help improve the design of patient su...

Full description

Bibliographic Details
Main Authors: Tom Hughes, Ashley E. L. Anderson, Ali A. Habib, Kathy Perez, Cathleen Bergin, Sharon Suchotliff, Cecilia Zvosec, Dajzsa McDaniel, Mai Sato, Albert Whangbo, Glenn Phillips
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-05-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2023.1147489/full
_version_ 1797823633713790976
author Tom Hughes
Ashley E. L. Anderson
Ali A. Habib
Kathy Perez
Cathleen Bergin
Sharon Suchotliff
Cecilia Zvosec
Dajzsa McDaniel
Mai Sato
Albert Whangbo
Glenn Phillips
author_facet Tom Hughes
Ashley E. L. Anderson
Ali A. Habib
Kathy Perez
Cathleen Bergin
Sharon Suchotliff
Cecilia Zvosec
Dajzsa McDaniel
Mai Sato
Albert Whangbo
Glenn Phillips
author_sort Tom Hughes
collection DOAJ
description IntroductionSocial determinants of health (SDOH) are important contributors to health outcomes, and better understanding their impact on individuals diagnosed with rare, chronic diseases with high burden and unmet need is critical. Characterizing SDOH burden can help improve the design of patient support programs (PSPs), using targeted approaches to remove barriers to access.MethodsThis study used a mixed-methods strategy employing a quantitative survey, which was designed based on qualitative interviews, to understand the unmet needs and awareness/utilization of PSPs among individuals living with generalized myasthenia gravis (gMG) and experiencing SDOH barriers. The survey was completed by 38 individuals living with gMG, of which the majority were non-White/Caucasian, unemployed, low income, and enrolled in public insurance. Common SDOH challenges, awareness/utilization of available PSPs, and unmet needs were identified.ResultsFinancial and mental health concerns were the most common among individuals living with gMG and experiencing SDOH barriers throughout diagnosis, accessing treatment, initiating treatment, and continuing treatment. Awareness and utilization of existing support services were low, especially when accessing treatment. Educational, financial, and personalized support with high “human touch” were commonly perceived as the most valuable resources.ImplicationsTo better serve the needs of individuals with gMG experiencing SDOH barriers, PSPs should use a targeted approach to offer services tailored to harder-to-reach populations. Further, providers, advocacy groups, manufacturers, and public organizations in the gMG ecosystem should strengthen collaborations with PSPs to enable individuals living with gMG to access the services they need to improve their health outcomes.
first_indexed 2024-03-13T10:26:48Z
format Article
id doaj.art-605a2804ceb64395bc8ff3b2ebe38b9c
institution Directory Open Access Journal
issn 2296-2565
language English
last_indexed 2024-03-13T10:26:48Z
publishDate 2023-05-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Public Health
spelling doaj.art-605a2804ceb64395bc8ff3b2ebe38b9c2023-05-19T06:03:12ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-05-011110.3389/fpubh.2023.11474891147489Impact of social determinants of health on individuals living with generalized myasthenia gravis and implications for patient support programsTom Hughes0Ashley E. L. Anderson1Ali A. Habib2Kathy Perez3Cathleen Bergin4Sharon Suchotliff5Cecilia Zvosec6Dajzsa McDaniel7Mai Sato8Albert Whangbo9Glenn Phillips10argenx US Inc., Boston, MA, United StatesDepartment of Neurology, Houston Methodist, Houston, TX, United StatesUCI Health ALS & Neuromuscular Center, University of California Irvine, Orange, CA, United Statesargenx US Inc., Boston, MA, United Statesargenx US Inc., Boston, MA, United StatesZS Associates, New York, NY, United StatesZS Associates, New York, NY, United StatesZS Associates, New York, NY, United StatesZS Associates, New York, NY, United StatesZS Associates, New York, NY, United Statesargenx US Inc., Boston, MA, United StatesIntroductionSocial determinants of health (SDOH) are important contributors to health outcomes, and better understanding their impact on individuals diagnosed with rare, chronic diseases with high burden and unmet need is critical. Characterizing SDOH burden can help improve the design of patient support programs (PSPs), using targeted approaches to remove barriers to access.MethodsThis study used a mixed-methods strategy employing a quantitative survey, which was designed based on qualitative interviews, to understand the unmet needs and awareness/utilization of PSPs among individuals living with generalized myasthenia gravis (gMG) and experiencing SDOH barriers. The survey was completed by 38 individuals living with gMG, of which the majority were non-White/Caucasian, unemployed, low income, and enrolled in public insurance. Common SDOH challenges, awareness/utilization of available PSPs, and unmet needs were identified.ResultsFinancial and mental health concerns were the most common among individuals living with gMG and experiencing SDOH barriers throughout diagnosis, accessing treatment, initiating treatment, and continuing treatment. Awareness and utilization of existing support services were low, especially when accessing treatment. Educational, financial, and personalized support with high “human touch” were commonly perceived as the most valuable resources.ImplicationsTo better serve the needs of individuals with gMG experiencing SDOH barriers, PSPs should use a targeted approach to offer services tailored to harder-to-reach populations. Further, providers, advocacy groups, manufacturers, and public organizations in the gMG ecosystem should strengthen collaborations with PSPs to enable individuals living with gMG to access the services they need to improve their health outcomes.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1147489/fullpatientscaregiversmyasthenia gravissocial determinants of healthburdenpatient support services
spellingShingle Tom Hughes
Ashley E. L. Anderson
Ali A. Habib
Kathy Perez
Cathleen Bergin
Sharon Suchotliff
Cecilia Zvosec
Dajzsa McDaniel
Mai Sato
Albert Whangbo
Glenn Phillips
Impact of social determinants of health on individuals living with generalized myasthenia gravis and implications for patient support programs
Frontiers in Public Health
patients
caregivers
myasthenia gravis
social determinants of health
burden
patient support services
title Impact of social determinants of health on individuals living with generalized myasthenia gravis and implications for patient support programs
title_full Impact of social determinants of health on individuals living with generalized myasthenia gravis and implications for patient support programs
title_fullStr Impact of social determinants of health on individuals living with generalized myasthenia gravis and implications for patient support programs
title_full_unstemmed Impact of social determinants of health on individuals living with generalized myasthenia gravis and implications for patient support programs
title_short Impact of social determinants of health on individuals living with generalized myasthenia gravis and implications for patient support programs
title_sort impact of social determinants of health on individuals living with generalized myasthenia gravis and implications for patient support programs
topic patients
caregivers
myasthenia gravis
social determinants of health
burden
patient support services
url https://www.frontiersin.org/articles/10.3389/fpubh.2023.1147489/full
work_keys_str_mv AT tomhughes impactofsocialdeterminantsofhealthonindividualslivingwithgeneralizedmyastheniagravisandimplicationsforpatientsupportprograms
AT ashleyelanderson impactofsocialdeterminantsofhealthonindividualslivingwithgeneralizedmyastheniagravisandimplicationsforpatientsupportprograms
AT aliahabib impactofsocialdeterminantsofhealthonindividualslivingwithgeneralizedmyastheniagravisandimplicationsforpatientsupportprograms
AT kathyperez impactofsocialdeterminantsofhealthonindividualslivingwithgeneralizedmyastheniagravisandimplicationsforpatientsupportprograms
AT cathleenbergin impactofsocialdeterminantsofhealthonindividualslivingwithgeneralizedmyastheniagravisandimplicationsforpatientsupportprograms
AT sharonsuchotliff impactofsocialdeterminantsofhealthonindividualslivingwithgeneralizedmyastheniagravisandimplicationsforpatientsupportprograms
AT ceciliazvosec impactofsocialdeterminantsofhealthonindividualslivingwithgeneralizedmyastheniagravisandimplicationsforpatientsupportprograms
AT dajzsamcdaniel impactofsocialdeterminantsofhealthonindividualslivingwithgeneralizedmyastheniagravisandimplicationsforpatientsupportprograms
AT maisato impactofsocialdeterminantsofhealthonindividualslivingwithgeneralizedmyastheniagravisandimplicationsforpatientsupportprograms
AT albertwhangbo impactofsocialdeterminantsofhealthonindividualslivingwithgeneralizedmyastheniagravisandimplicationsforpatientsupportprograms
AT glennphillips impactofsocialdeterminantsofhealthonindividualslivingwithgeneralizedmyastheniagravisandimplicationsforpatientsupportprograms