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Chronic Condition Measurement Requires Engagement, Not Measurement Alone
Andrea M Austin1, Don Carmichael, Scott Berry
1The Dartmouth Institute for Health Policy & Clinical Practice, Dartmouth College, Lebanon, New Hampshire (Drs Austin, Carmichael Nelson, Skinner, and Barr and Mr Berry); and Institute for Health Research, Kaiser Permanente Colorado, Denver (Dr Gozansky).
Abstract:
Patient-reported outcome measures (PROMs) have great promise, but evidence of success is mixed. This study uses data from Dartmouth-Hitchcock Medical Center and Kaiser-Permanente Colorado to evaluate providing PROMs directly to the primary care physician. We compared changes over time in urinary incontinence, falls, and mental and physical health between clinics providing augmented PROMs (N = 202 patients) and control clinics (N = 102 patients). Both the control and treatment groups exhibited improvements, but there was no significant difference in outcomes over time. These results suggest that measuring and printing out PROMs for primary care physicians will not result in better patient outcomes without physician clinical engagement.
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