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Original Research ARTICLE Provisionally accepted The full-text will be published soon. Notify me

Front. Public Health | doi: 10.3389/fpubh.2019.00236

Communication needs for individuals with rare diseases within and around the healthcare system of Northern Ireland.

Ashleen Crowe1,  Amy Jayne McKnight1 and  Helen McAneney1*
  • 1Center of Public Health, Queen's University Belfast, United Kingdom

Objective
By definition a rare disease affects fewer than 1 in 2,000 people but collectively 1 in17 people are affected at some time in their lives. Rare disease patients often describe feeling isolated and unsupported. The needs of individuals living with rare disease(s) are not well met globally and have not been specifically explored in Northern Ireland.

Methods
An online survey was conducted in spring of 2017, focused on information and communication needs, to identify overarching themes. Databases were searched to place responses in an international context.

Results
There were 240 survey respondents with four overarching themes identified: sources of information; medical care; rare disease community; and public awareness. Thirty relevant papers resulted from the literature search.

A coordinated and transparent approach for improved medical care is needed where researchers, practitioners, and policy makers work with patients, carers, and rare disease advocates to ensure a fully considered rare disease strategy is implemented. In line with that developed by many other countries, a physical or virtual Northern Ireland reference network or centre of excellence for rare diseases would provide an important strategic link. Sustainable funding, resources for rare disease charities, and more cross-border working would help build a local rare disease community. Major challenges highlighted include finding the right health and social care information. The internet was the most regularly accessed, and perceived as the easiest way, to source information on rare disease. Improved signposting to accredited information, ideally by the creation of a locally relevant online information hub, a local rare disease registry that can integrate with international systems, a local rare disease coordinator and improving public awareness are urgent needs.

Conclusions
Aligned to internationally reported outcomes, practical issues for future development based on the voices of individuals living and working with a rare condition are described. It is essential that ongoing research evaluates changes to ensure that the best possible structures and mechanisms are put in place to improve communication and information systems for those affected by a rare condition(s).

Keywords: Rare disease; , public awareness, healthcare;, patients;, Information systems;, communication;

Received: 03 May 2019; Accepted: 06 Aug 2019.

Edited by:

Rumen Stefanov, Plovdiv Medical University, Bulgaria

Reviewed by:

Georgi Iskrov, Plovdiv Medical University, Bulgaria
Ana V. Pejcic, Faculty of Medical Sciences, University of Kragujevac, Serbia
Manuel Posada, Carlos III Health Institute, Spain  

Copyright: © 2019 Crowe, McKnight and McAneney. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Dr. Helen McAneney, Center of Public Health, Queen's University Belfast, Belfast, United Kingdom, h.mcaneney@qub.ac.uk