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Using Patient-Reported Outcomes in Two Program Examples Measuring Health Status in Primary Care: An Observational
Allison L Soprovich1, Hilary Short1, Al-Bakir Ali2
1Alberta PROMs and EQ-5D Research and Support Unit (APERSU), School of Public Health University of Alberta Edmonton Alberta Canada.
Health Science Reports
|January 1, 2025
Summary
Patient-reported outcome measures (PROMs) like the EQ-5D-5L are vital for primary care evaluation. This study shows EQ-5D-5L integration in Alberta primary care programs revealed lower health status than norms, informing future patient-centered programming.
Area of Science:
- Health Services Research
- Primary Care Medicine
- Patient-Reported Outcomes
Background:
- Patient-reported outcome measures (PROMs) are increasingly adopted in primary care.
- Generic PROMs, such as the EQ-5D-5L, assess general health status from the patient's viewpoint.
- Integrating PROMs aids comprehensive health program evaluation.
Purpose of the Study:
- To describe the integration of the EQ-5D-5L in primary care programs in Alberta, Canada.
- To evaluate health status and changes using the EQ-5D-5L in exercise and nutrition programs.
- To compare program participants' health status to general population norms.
Main Methods:
- Retrospective, longitudinal, observational study design.
- Utilized routinely collected EQ-5D-5L data from January 2021 to March 2022.
- Descriptive analysis of EQ-5D-5L dimensions, index, and visual analog scale (VAS) scores, including minimally important differences and Pareto Classification.
Main Results:
- Exercise program (n=301): 90.2% reported pain/discomfort; mean index 0.74, VAS 66.5. Greatest improvement in usual activities, deterioration in pain.
- Nutrition program (n=573): 75.9% reported pain/discomfort; mean index 0.77, VAS 70.1. Greatest improvement in anxiety/depression, deterioration in pain.
- Both programs showed health status below Alberta population norms; no significant baseline characteristics identified.
Conclusions:
- EQ-5D-5L integration provides valuable insights into primary care program effectiveness.
- Findings highlight areas for targeted intervention, particularly concerning pain/discomfort.
- Results support data-driven adjustments to enhance patient-centered primary care programming.
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