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Cancer Care Team's Management of Clinical Alerts Generated by Electronically Collected Patient Reported Outcomes: We
Orlando Rincones1, Adeola Bamgboje-Ayodele1,2, Anthony Arnold3
1Ingham Institute for Applied Medical Research, South West Sydney Clinical Campuses, UNSW Medicine & Health, University of New South Wales, Liverpool, NSW 2170, Australia.
International Journal of Environmental Research and Public Health
|February 11, 2023
Summary
Electronically administered patient-reported outcome measures (ePROMs) improve cancer care by alerting care teams to patient symptoms. While most patients found follow-up beneficial, improving alert response rates requires further implementation science research.
Area of Science:
- Digital Health
- Oncology
- Implementation Science
Background:
- Electronically administered patient-reported outcome measures (ePROMs) are vital digital health tools for monitoring cancer patient symptoms.
- ePROMs facilitate timely, patient-centered cancer care by informing clinicians.
- The PROMPT-Care model integrates ePROMs into clinical workflows.
Purpose of the Study:
- To describe healthcare activities within the PROMPT-Care model.
- To evaluate clinician responses to ePROM-generated alerts.
- To assess patient perceptions of the system and clinician responses.
Main Methods:
- Mixed-methods study involving cancer patients across four NSW, Australia centers.
- Collected quantitative and qualitative data on alert activity, clinician response, and patient perceptions.
- Thematic analysis of qualitative data.
Main Results:
- 70.8% of 328 participants generated alerts, totaling 877 alerts.
- 43.7% of alerts were actioned by the Cancer Care Team (CCT).
- Over 80% of participants found CCT follow-up calls beneficial.
Conclusions:
- The PROMPT-Care model's alert system was positively perceived by most patients.
- The system provided diverse benefits, enhancing patient-centered care.
- Implementation science is needed to increase the rate of actioned clinical alerts.
Keywords:
cancercancer care coordinatorsclinical alertseHealthelectronic patient reported outcome measures (ePROMs)patient-centred carereferralssymptom screeningMore Related Videos
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