The experiences of professionals with using information from patient-reported outcome measures to improve the quality of healthcare: a systematic review of qualitative research

Boyce, M; Browne, John; Greenhalgh, Joanne

doi:10.1136/bmjqs-2013-002524

Cited by 398 publications

(449 citation statements)

References 54 publications

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“…This approach addresses the PROs, namely valuing, making sense of the data, and using it to make changes to patient care. 8 Implementing decision-support aids was an essential facilitator (local guidelines on referral pathways, online decision tree, quick reference card). The easy access to the decision-aids on the website worked well in the pediatric setting and is an approach recommended for the future.…”

Section: Discussionmentioning

confidence: 99%

“…As the experience in using these measures increased it became obvious that there is a clinical value in using individual patient PROs profiles in daily practice to give clinicians standardized information on patient problems to identify/monitor symptoms, evaluate treatment outcomes and support shared decisionmaking. [2][3][4][5][6][7][8] Recently, PROs became widely accessible to clinicians via electronic/online reporting with new developments towards integration with Electronic Health Records (EHRs) via patient portals. 2 The integration of PROs with clinical data in EHRs offers innovative opportunities of including patient perspective in Big Dataset for analysis and rapid learning from combined biological, clinical and treatment information.…”

Section: Introductionmentioning

confidence: 99%

“…The barriers to implementing the use of PROs in routine clinical care 7 included scepticism about the validity of patient self-report, unfamiliarity with PROs, preference for physiologic measures, and uncertainty how to interpret the information and make it actionable in clinical care. 8 More than two decades of methodological development of PROs 9 and the accumulation of experience in the use of PROs in a variety of clinical settings have reduced these barriers. A key problem that still utilize PROs data in their clinical encounters with patients 10,11 .…”

Section: Introductionmentioning

confidence: 99%

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Training clinicians in how to use patient-reported outcome measures in routine clinical practice

et al. 2015

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Patient-reported outcome measures (PROs) were originally developed for comparing groups of people in clinical trials and population studies, and the results were used to support treatment recommendations or inform health policy, but there was not direct benefit for the participants providing PROs data. However, as the experience in using those measures increased, it became obvious the clinical value in using individual patient PROs profiles in daily practice to identify/monitor symptoms, evaluate treatment outcomes and support shared decision-making. A effectively utilize PROs data in their clinical encounters.The implementation of PROs in patient care represents a significant change to clinical practice of individual clinicians and health organisations. Using a change-management theoretical framework, this paper describes the development and implementation of three programs for training clinicians to effectively use PRO data in routine practice. The training programs are in three diverse clinical areas (adult oncology, lung transplant and paediatrics), in three countries with different health care systems, thus providing a rare opportunity to pull out common approaches whilst recognizing specific settings. For each program we describe the clinical and organisational setting, the program planning and development, the content of the training session with supporting material, subsequent monitoring of PROs use and evidence of adoption. The common successful components and practical steps are identified, leading to discussion and future recommendations. The common successful components are identified, leading to discussion and future recommendations.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Training clinicians in how to use patient-reported outcome measures in routine clinical practice

et al. 2015

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“…On the national level, health care quality improvement has become a focus as health care delivery and reimbursement undergo rapid changes [1], including a shift toward value-based insurance models, which will require evidence-based patient-reported outcomes to help distinguish between high and low value services [2]. Despite the benefits of obtaining patientreported outcome measures, practical barriers with regard to traditional pen and paper data collection are significant, including the time, labor, and resourceintensive nature of this process, all of which may not be conducive to a high-volume practice setting [3].…”

Section: Introductionmentioning

confidence: 99%

The use of an iPad to Collect Patient-Reported Functional Outcome Measures in Hand Surgery

Yaffe

Goyal

Kokmeyer

et al. 2015

Hand (New York, N,Y.)

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Background The purpose of this study was to evaluate (1) patient preferences regarding iPad and paper-based questionnaires, (2) the efficacy of iPad and paper questionnaires in a hand surgery practice, (3) the influence of questionnaire length on patient preferences and data collection, and (4) patient characteristics associated with a preference for iPad-based questionnaires. Methods Two hundred total patients in a single hand surgery practice were randomly assigned to one of four groups. Each group completed either the Michigan Hand Questionnaire (MHQ) or QuickDASH (QD) using either an iPad or pen and paper. Patient preferences, questionnaire completion and timing, and demographic data were analyzed. Results The use of an iPad was associated with a statistically stronger preference for the same delivery format in the future compared to paper for the MHQ (93.9 vs 52.1 %, p<0.001) and QD (90.0 vs 41.7 %, p<0.001). The MHQ iPad group found the survey "physically easy" more often compared to the MHQ paper group, while no difference was found among QD groups. Questionnaire timing between iPad and paper groups was similar for the MHQ but statistically longer with the iPad for QD. A significantly higher proportion of patients who preferred the iPad were under the age of 50 compared to those who preferred paper. Conclusions The addition of an iPad is an efficient and preferable questionnaire format for functional outcome assessment in a hand and upper extremity surgery practice setting. The iPad is particularly preferable for longer outcome questionnaires and for patients under the age of 50.

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“…[1][2][3][4][5][6][7] Because PROs capture domains that cross conditions and reflect patient-centered priorities, such measures may more accurately reflect the health and well-being of individuals with multiple chronic medical conditions (MCCs) than do common disease-specific quality measures. 8,9 Across populations, higher scores on these and other domains of health-related quality of life (HRQOL) correlate with lower rates of hospitalization, lower overall mortality, lower cardiovascular morbidity, and lower outpatient services utilization in populations of patients with chronic illness.…”

mentioning

confidence: 99%

Association between Continuity of Care and Health-Related Quality of Life

et al. 2017

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Background: Patient-reported outcomes (PROs) are considered potential quality metrics for patients with multiple chronic medical conditions (MCC). Although continuity of care (COC) is an essential MCC care process, the association between common PROs and COC is unknown.Methods: We assessed baseline and two-year follow-up self-reported health status, physical, and emotional well-being, and COC in seniors with MCC. Using mixed effects models with repeated measures adjusting for age, gender, and morbidity, we assessed each outcome as a function of COC.Results

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The experiences of professionals with using information from patient-reported outcome measures to improve the quality of healthcare: a systematic review of qualitative research

Cited by 398 publications

References 54 publications

Training clinicians in how to use patient-reported outcome measures in routine clinical practice

Training clinicians in how to use patient-reported outcome measures in routine clinical practice

The use of an iPad to Collect Patient-Reported Functional Outcome Measures in Hand Surgery

Association between Continuity of Care and Health-Related Quality of Life

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