Student Service Design Challenge
Sponsored by Philips
2025
DiaLog is a platform-as-a-service, empowers patients to track symptoms, store records, and access trusted global medical insights. It offers personalized guidance for medical conversations and visualizes key health patterns. Patients can also find and connect with others on similar journeys
PROJECT BRIEF
Philips presented a challenge brief titled “Expanding Self-Confidence Horizons,” inviting teams to design a service that fosters self-care through activities that support health and wellbeing, while also exploring how self-care can empower individuals and strengthen self-confidence.
Drawing from our team’s own experiences with self-care during difficult times, we identified a specific gap: Promoting self-care practices for women and non-binary individuals aged 25–45 in the UK who are navigating the uncertainty of Diagnosis Limbo.
Vivien Fergusson, Kate Winbaum, Lucia Perez Gonzales, Miran Jurisevic, Maya Burnand, Richa Kejriwal
Research & Discovery
An estimated 5.7 million women in the UK are currently awaiting a diagnosis for a range of health conditions. Nearly 1 in 3 (30%) are experiencing symptoms related to women’s health issues—such as PCOS, endometriosis, or gynaecological cancers—yet have not received a formal diagnosis.
On average, the diagnostic journey for a women’s health condition takes two years and three months, with conditions like endometriosis taking up to eight years to be properly diagnosed.
Patients Insights
Despite the commonness of the experience, every single interviewee reported feeling alone in their journey.Healthcare Practitioners (HCPs) Insights
1. HCPs must run a tight schedule: Most GP visits last 15–20 minutes, with HCPs juggling patient care and admin. There is a high demand for appointments, but a limited capacity to deliver them, leading to rushed consultations and patient dissatisfaction.2. Rise of self-diagnosis: Patients often turn to the internet for answers. While it can empower them, it also risks misinformation and anxiety, sometimes complicating appointments or delaying proper treatment.
3. HCPs may react to patients’ emotions in differently: Patients often arrive feeling emotional or frustrated. Some HCPs may take this personally, while others feel sympathy and try to offer extra support. Since patients rarely see the same doctor, reactions vary, making the doctor-patient relationship feel unpredictable.
To synthesize our research findings, we gathered and grouped all the problems we found, then mapped how they connect within the healthcare system. We categorized and organized problems based on their scale of control:
Personal-level Problems
01. Advocacy Behaviour
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Patient advocacy varies based on how individuals navigate diagnosis limbo.
02. Negative Emotions
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Patients in diagnosis limbo often face overwhelming negative emotions.
03. Community & Biases
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Many patients in diagnosis limbo feel isolated as they struggle to find relatable supports.
System-level Problems
04. Medical Administration
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Current administration is inefficient and frustrating. Long wait times and difficulty booking appointments make navigating the system stressful.
05. Doctor-Patient Relationship
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Doctors often fail to provide emotional support due to the lack of a personal relationship between doctor and patient.
06. Fragmented Data & Poor UX
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Fragmented medical data, lacking accessibility and transparency, forces patients to repeatedly explain their history to different doctors.
07. Healthcare Cost Burden
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Diagnosis limbo burdens the healthcare system, with delays leading to inefficiencies and economic losses.
08. Medical Literacy & Education
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Many struggle to understand what is normal or concerning, especially when medical information is complex and often inaccessible.
09. Gender Inequality in Healthcare
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Women’s health often ignored or stigmatized in both society and medical research, which leads to a gender data gap in the system.
Strategic Intervention
Key factors such as outlook, disposition, emotional regulation, cognitive state, health literacy, sense of agency, system dependence, and social context all influence how patients cope with this challenging period. This shift in mindset and behavior can support clearer communication, more effective self-advocacy, and ultimately, improved diagnostic and patient’s health outcomes.
Principles that guide the design and development of the solution.
▶ Empower Personal Agency
Create tools that enable individuals to control how they track and share their symptoms and experiences—putting them at the center of their health journey.
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▶ Clarity Through Education
Deliver accessible and personalised information that helps users understand their symptoms, navigate medical jargon, and determine appropriate next steps.
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▶ Confidence in Storytelling
Support users in effectively articulating their health narratives, ensuring they feel heard and respected in clinical interactions.
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▶ Emotional Safety & Community Connection
Design with empathy by offering peer stories, expert guidance, and emotional support to reduce isolation and anxiety.
▶ Privacy & Trust
Protect sensitive health data with secure systems and transparent practices, building trust and ensuring user safety at every touchpoint.
Solution Strategy
❶ Input & Repository
Serves as a single source of truth for a patient’s entire health journey.DiaLog allows patients to track their symptoms through voice notes, photos, journal entries, or by scanning images. It consolidates medical records, symptom logs, doctor notes, appointment schedules, and personal reflections in one secure place, enabling both patients and healthcare providers to see the full picture and stay aligned, informed, and proactive.
❷ Curated Insights
Draws personalised, actionable insights from the patient’s health repository.DiaLog cuts through the noise and draws out patterns and actionable insights based on patient and community input, using a smart information tagging system. It also visualises each patient’s medical journey, highlighting key trends and turning points to support better understanding and decision-making.
❸ Health Education
Provides guidance on navigating difficult medical conversations.DiaLog offers know-how tips, conversation prompts, and preparation guides. Empowering individuals to communicate effectively, ask the right questions, and advocate for themselves throughout their health journey.
❹ Credible Resources
Access to trusted medical knowledge & global doctors.DiaLog offers know-how tips, conversation prompts, and preparation guides. Empowering individuals to communicate effectively, ask the right questions, and advocate for themselves throughout their health journey.
❺ Patient Matching
Connect with and contribute to the community.DiaLog connects patients with others experiencing similar symptoms and journeys, fostering a sense of empowerment, validation, understanding, and being truly heard.
It nurtures emotional connection by celebrating small milestones, tracking personal growth, and encouraging peer advocacy.
DiaLog Service Blueprint
“DiaLog will allow patients to feel satisfied in their approach to their illness and help build better interpersonal relationships, which invariably leads to better healthcare.”
—NHS Medical Doctor (MD)
“This is what’s been missing, and it’s exactly what we need.”
—Poet and Practitioner of Narrative Medicine
“I would put all my notes and medical references into DiaLog if it existed. It simplifies things a lot.”
—Patient in 4-Year Diagnosis Limbo
“This project took our breath away. DiaLog looks at the problem of diagnosis limbo from multiple angles and provides a number of ways to track, understand, and connect around symptoms. The service is robust and offers a unique and fitting experience for every individual. We commend the team for using both qualitative and quantitative research to design a service with empathy at its core.”