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Chronic Condition Measurement Requires Engagement, Not Measurement Alone.

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Providing patient-reported outcome measures (PROMs) to primary care physicians did not improve patient outcomes. Physician engagement is crucial for PROMs to enhance care quality and patient health.

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Area of Science:

  • Health Services Research
  • Clinical Informatics
  • Patient Outcomes

Background:

  • Patient-reported outcome measures (PROMs) show potential for improving healthcare.
  • However, evidence on the effectiveness of integrating PROMs into clinical practice remains mixed.
  • Directly providing PROMs to primary care physicians is one strategy to enhance their utility.

Purpose of the Study:

  • To evaluate the impact of augmented patient-reported outcome measures (PROMs) delivery to primary care physicians on patient health outcomes.
  • To compare changes in urinary incontinence, falls, and mental and physical health in patients receiving augmented PROMs versus standard care.

Main Methods:

  • A comparative study design was employed using data from Dartmouth-Hitchcock Medical Center and Kaiser-Permanente Colorado.
  • Two groups were compared: clinics providing augmented PROMs (N=202) and control clinics (N=102).
  • Outcomes including urinary incontinence, falls, and mental and physical health were tracked over time.

Main Results:

  • Both the augmented PROM group and the control group demonstrated improvements in patient-reported outcomes.
  • No statistically significant differences in health outcomes were observed between the two groups over the study period.
  • The integration of PROMs alone, without active physician engagement, did not lead to superior patient outcomes.

Conclusions:

  • Simply measuring and presenting patient-reported outcome measures (PROMs) to primary care physicians does not inherently improve patient health.
  • Effective utilization of PROMs requires active clinical engagement from physicians to translate into better patient outcomes.
  • Future research should focus on strategies to foster physician engagement with PROMs data.