Original Research

Fragmented care in lupus: Patient experiences and insights

Armand Bam
African Journal of Disability | Vol 14 | a1562 | DOI: https://doi.org/10.4102/ajod.v14i0.1562 | © 2025 Armand Bam | This work is licensed under CC Attribution 4.0
Submitted: 20 August 2024 | Published: 28 January 2025

About the author(s)

Armand Bam, Stellenbosch Business School, Faculty of Economics and Management Science, Stellenbosch University, Cape Town, South Africa

Abstract

Background: Systemic lupus erythematosus (SLE) is a complex autoimmune disease requiring interprofessional collaborative care because of its varied manifestations. This study explores the experiences of individuals living with SLE regarding the communication and collaboration among their healthcare providers.

Objectives: This study aimed to explore the communication dynamics that shape treatment experiences and well-being in SLE care.

Method: A qualitative multiple case study design was used, with thematic analysis of semi-structured interviews from six people living with SLE.

Results: Three primary themes emerged: the necessity of cohesive healthcare teams, the centrality of client-centred care and the significant challenges posed by fragmented healthcare systems.

Conclusion: The study highlights the need for integrated care models to enhance communication and coordination among healthcare providers.

Contribution: This research adds empirical insights into the communication dynamics within medical teams managing SLE, advocating for client-centred and systemic improvements in care coordination.


Keywords

systemic lupus erythematosus; chronic illness management; multidisciplinary care; care fragmentation; patient-centred; interprofessional collaboration; team dynamics; integrated care.

Sustainable Development Goal

Goal 10: Reduced inequalities

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