How Might Health Communication Change If Designed by Patients Who've Experienced Its Failures?
During my cancer journey, I experienced a series of devastating communication breakdowns that led to misdiagnoses, treatment delays, unnecessary surgeries, and a great deal of preventable suffering. When I shared what happened during a traumatic medical procedure, a friend suggested I sue the hospital for negligence. But I knew litigation wouldn't fix the systemic failures that nearly cost me my life—and continue to endanger patients like you every day.
Turning Patient Pain Into System Change
Traditionally, patients have participated in medical research as subjects rather than as lead researchers or have been called to share their stories on conference podiums for emotional resonance. I knew I needed to do more than share my story—I needed to leverage my background in human experience design to develop evidence-based solutions that could prevent other patients from facing the same risks.
Turning pain into progress meant navigating a world where patient voices are rarely heard, let alone recognized as solution providers. Despite these barriers, I recognized that my dual perspective as both a patient and a system design expert provided me with valuable insights into the flaws in our healthcare system and what needed to change.
I established a collaboration with Emory School of Medicine and secured grant funding from Genentech as Principal Investigator. I became the first patient to lead a major research grant in academic medicine. My research paper, which focused on redesigning healthcare communication to prevent patient harm, has now been published in the Journal of Patient Experience.
Why This Matters to Every Patient
The communication problems I encountered aren't rare exceptions—they likely affect your healthcare too. Did you know that 94% of patients have had their symptoms dismissed by doctors at some point? This isn't just frustrating—it's dangerous.
Communication breakdowns lead to a whopping 70% of serious medical errors, putting you and your loved ones at risk every time you seek care. It's alarming how complicated medical information is; only 12% of Americans really grasp the important details about their health information.
These aren't just numbers—they represent real people facing real harm. The patient who discontinued a critical cancer drug because of poor communication could be you or someone you love. And every year, these preventable communication errors waste over $17 billion in healthcare spending in the US alone—money that should be going toward better care instead of fixing mistakes that should not have happened.
My research approach combines lived experience with professional expertise. By connecting the dots between patients’ lived experiences, human-centered design, and rigorous healthcare research, I've been able to identify blind spots in the system that traditional researchers often miss. This perspective has allowed me to translate painful patient experiences into evidence-based solutions that can protect patients like you from preventable harm.
Effective Communication as the Missing Medicine
Every time you enter a healthcare setting, these statistics become your reality. This research paper developed a comprehensive framework that could dramatically reduce your risk of experiencing misdiagnosis, treatment delays, and preventable suffering—challenges that affect countless patients.
First, empathy is a clinical skill, not just a nicety. When healthcare providers truly understand patients' experiences and perspectives, they gather crucial information they would otherwise miss. Research shows this perspective-taking directly improves diagnostic accuracy and treatment outcomes.
Second, accessible communication enhances understanding. Studies demonstrate that when medical information is presented in plain language rather than specialized terminology, patients are more likely to follow their treatment plans, feel comfortable asking questions, and experience better health outcomes.
Third, communication problems extend far beyond individual patient-provider interactions. The framework addresses breakdowns throughout the entire healthcare system: between specialists who don't coordinate care, across specialties where critical information gets lost, within confusing administrative processes, and through poorly designed digital interfaces. These systemic issues require system-level solutions.
Fourth, health communication is a social determinant of health. Ineffective communication disproportionately harms marginalized communities, widening existing health disparities. Advancing equity requires understanding the specific communication barriers that different populations face and developing culturally responsive solutions that bridge these gaps.
What makes this approach powerful is that it creates mutual benefits. Patients gain better understanding and control over their health, while healthcare professionals can practice more effectively with fewer errors, better treatment adherence, and improved outcomes, creating a positive cycle that benefits the entire system.
Research That Changes How Healthcare Communicates
This research highlights a critical shift in perspective: effective communication is a health system's responsibility, not an individual patient's burden. When patients struggle to understand medical information, it reflects opportunities to improve how healthcare shares information, not a lack of patient capability or effort.
Published in the Journal of Patient Experience, this research offers seven evidence-based strategies that address critical gaps in healthcare communication.
If you're interested in how these communication frameworks could benefit both patients and healthcare providers, you can read the full research paper: Addressing Health Communication Gaps: Improving Patient Experiences and Outcomes Through Human-Centered Design.
Building Bridges Between Worlds
Healthcare has traditionally valued clinical expertise while marginalizing patient knowledge—creating a profound disconnect that isn't easily bridged. My position at this uncomfortable intersection has revealed how patient experiences uncover critical system failures that remain invisible from a purely clinical viewpoint.
Transforming healthcare communication isn't about incremental adjustments—it requires fundamentally reimagining how medical knowledge is created and shared. This research provides evidence-based pathways to cross this entrenched divide.
This work directly impacts how patients understand their conditions, how providers deliver care, and how systems support both groups.
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Thanks for another important article. You bring such a unique perspective... a patient that experienced a lack of empathy, poor communication, and medical errors and as a human centered design expert. You are spot on. Health systems, focused on profit, "encourage" high volumes of patients being run through their clinics and hospitals. This clearly impacts clinician burnout, limits discussion time between clinicians, staff, and patients, and contributes to a lack of empathy and poor communication. I also agree that health systems and manufacturers need to solicit feedback from marginalized patients and from people with low heath literacy to ensure products, educational materials, and instructions are clearly understood.
Wonderful article, Sylvie. After more than 35 years as a physician, I support everything you indicated. We need change. You are clearly a leader in this field! Please keep up the good work!