Advancing the use of patient-reported outcomes in practice: understanding challenges, opportunities, and the potential of health information technology.

Purpose: The effective use of patient-reported outcomes (PROs) can play a critical role in improving health care delivery and patient experience with care. However, PROs are not widely collected and used in clinical practice. This study aims to understand current opportunities and challenges with th...

Descripción completa

Detalles Bibliográficos
Publicado en:Quality of Life Research Vol. 28; no. 6; pp. 1575 - 1584
Autores principales: Hsiao, Chun-Ju, Dymek, Christine, Kim, Bryan, Russell, Brigid
Formato: Journal Article
Publicado: Springer Nature Jun2019
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=136504672&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 136504672
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        09629343
        GPQ
      jtl: Quality of Life Research
      issn: 09629343
      maglogo: N
    pubinfo:
      dt: Jun2019
      vid: 28
      iid: 6
      pid: 237
      pub: Springer Nature
      place: New York, New York
    artinfo:
      ui:
        136504672
        136504672
        NLM30684149
        10.1007/s11136-019-02112-0
        NLM30684149
        136504672
      ppf: 1575
      ppct: 9
      formats:
        fmt:
          – @attributes:
              type: T
          – @attributes:
              type: P
      tig:
        atl: Advancing the use of patient-reported outcomes in practice: understanding challenges, opportunities, and the potential of health information technology.
      aug:
        au:
          Hsiao, Chun-Ju
          Dymek, Christine
          Kim, Bryan
          Russell, Brigid
        affil: Agency for Healthcare Research and Quality, 5600 Fishers Lane, 20857, Rockville, MD, USA
      sug:
        subj:
          Data Collection
          Quality of Life Psychosocial Factors
          Medical Informatics Methods
          Medical Informatics Trends
          Arthritis Impact Measurement Scales
          Ferrans and Powers Quality of Life Index
          Scales
      ab: Purpose: The effective use of patient-reported outcomes (PROs) can play a critical role in improving health care delivery and patient experience with care. However, PROs are not widely collected and used in clinical practice. This study aims to understand current opportunities and challenges with the use of PROs and the potential for health information technology (IT) to advance their use.Methods: The Agency for Healthcare Research and Quality held two technical expert panel (TEP) meetings to discuss the current use of PROs, challenges, and opportunities in implementation, and how health IT can be leveraged to support effective PRO use in clinical practice. Results were synthesized to identify major themes and takeaways based on different stages of PRO data utilization.Results: Findings from the TEP meetings indicated varying degrees of PRO usage in ambulatory care settings. Practices often lack a business case to collect PROs. Primary care physicians face more challenges than specialists in selecting appropriate PRO measures due to extensive variation in their patient populations. Providers also need training to use PRO data for shared decision making and population health management. Potential research areas to address PRO implementation challenges include measures harmonization, implementation process and workflow, electronic data collection and integration, and user-friendly data displays.Conclusions: Opportunities exist during different stages of PRO implementation to advance the use of PROs in clinical practice. Health IT can be utilized to address challenges in data collection, integration, and visualization to make PRO data accessible and understandable to patients and providers.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N