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Using patient-reported outcomes in routine practice: three novel use cases and implications.
Helena Hvitfeldt Forsberg1, Eugene C Nelson, Robert Reid
1Department of Learning Informatics Management and Ethics and Medical Management Center, Karolinska Institutet, Stockholm, Sweden (Dr Forsberg); The Dartmouth Institute for Health Policy and Clinical Practice and the Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire (Drs Nelson, Fisher, and Weinstein and Mss Mastanduno and Weiss); and Group Health Research Institute, Seattle, Washington (Drs Reid and Grossman).
Patient-reported outcomes (PROs) effectively track patient health perceptions over time. Integrating PROs into clinical practice enhances shared decision-making, patient engagement, and self-care, improving overall outcomes.
Area of Science:
- Health Services Research
- Clinical Informatics
- Patient-Centered Care
Background:
- Patient-reported outcomes (PROs) offer insights into patient perceptions of illness burden.
- Longitudinal tracking of PROs can illuminate changes in patient health status over time.
- Current clinical practice faces challenges in effectively integrating PROs into routine care.
Purpose of the Study:
- To provide principles and lessons learned for utilizing PROs in clinical settings.
- To demonstrate the feasibility of overcoming challenges in routine PRO implementation.
- To showcase how PROs can improve patient outcomes through data integration.
Main Methods:
- Review of principles and lessons learned from PRO implementation.
- Presentation of three detailed case studies illustrating PRO integration in clinical practice.
- Analysis of strategies for embedding patient-generated data into clinical workflows.
Main Results:
- Active use of PROs by clinicians at the point of service facilitates understanding of longitudinal patient changes.
- Successful integration of PROs can advance shared decision-making, patient engagement, and self-care.
- Case studies demonstrate the successful embedding of patient-generated data into care for outcome improvement and research.
Conclusions:
- Routine clinical use of PROs is feasible and beneficial for improving patient outcomes.
- Integrating patient-generated data into the care flow enhances patient engagement and self-management.
- PROs serve as a valuable tool for tracking outcomes and supporting clinical research.
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