An alternative approach to implementing patient-reported outcome measures.

Area of Science:

• Health Services Research
• Patient Outcomes
• Musculoskeletal Health

Background:

• Patient-reported outcome measures (PROMs) are vital for assessing health and intervention outcomes.
• Uncertainty remains regarding the impact of PROMs on healthcare services and patient care.
• Alternative implementation strategies for PROMs require further investigation.

Purpose of the Study:

• To describe the case study of introducing the Musculoskeletal Health Questionnaire (MSK-HQ) for assessing musculoskeletal problems.
• To evaluate the feasibility, practicality, and patient/professional relevance of the MSK-HQ.
• To explore the potential of aggregated PROM data for service evaluation and commissioning.

Main Methods:

• A case study involving 11 partner groups piloting the MSK-HQ.
• Data collection through 29 interviews and one focus group with key informants.
• Analysis of qualitative data using NVivo software V.10 and a framework method.

Main Results:

• The MSK-HQ was found to be feasible, practical, and relevant for identifying patient problems.
• The questionnaire was acceptable to patients and useful for individual care and aggregated service evaluation.
• Logistical challenges, including administration and sustainability, were identified, with electronic systems being more effective but not immediately feasible.

Conclusions:

• A bottom-up approach to PROM implementation generates valuable insights for patients and professionals.
• The partnership model for developing and utilizing PROMs offers a promising implementation strategy.
• Long-term commitment, coherent systems, and organizational support are crucial for sustainable PROM use.