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Surgeon's experiences of receiving peer benchmarked feedback using patient-reported outcome measures: a qualitative
Maria B Boyce1, John P Browne, Joanne Greenhalgh
1Department of Epidemiology and Public Health, University College Cork, Cork, Ireland. m.boyce@ucc.ie.
Implementation Science : IS
|June 29, 2014
Summary
Surgeons show mixed reactions to peer benchmarked patient-reported outcome measures (PROMs) feedback. While some find value, PROMs data alone is insufficient for practice improvement, highlighting a need for better awareness and reduced data burden.
Area of Science:
- Health Services Research
- Medical Informatics
- Surgical Quality Improvement
Background:
- Growing use of patient-reported outcome measures (PROMs) for peer benchmarking in healthcare.
- Limited evidence exists on healthcare professionals' perceptions of PROMs feedback value.
- Need to understand surgeon experiences with benchmarked PROMs data and its impact on practice.
Purpose of the Study:
- To explore surgeons' experiences receiving peer benchmarked PROMs feedback.
- To examine if this feedback influences changes in surgical practice.
Main Methods:
- Qualitative research utilizing a Framework approach.
- Semi-structured interviews conducted with eleven consultant orthopaedic surgeons in Ireland.
- Participants had received peer benchmarked PROMs feedback.
Main Results:
- Five themes emerged: conceptual, methodological, practical, attitudinal, and impact.
- Three surgeon groups identified: 'Advocates' (positive, reflective), 'Converts' (uncertain, less inclined), and 'Sceptics' (negative, no impact).
- Conceptual, methodological, and practical factors influenced surgeon attitudes and the impact of PROMs data.
Conclusions:
- Surgeons hold varied opinions on the value of peer benchmarked PROMs data.
- PROMs feedback alone is insufficient for identifying quality improvement opportunities.
- Barriers include conceptual, methodological, and practical factors; increased awareness and reduced data burden are recommended.
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