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Electronic Implementation of Patient-Reported Outcome Measures in Primary Health Care: Mixed Methods Systematic

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Summary

Implementing electronic patient-reported outcome measures (ePROMs) in primary health care shows mixed results for chronic disease management. Addressing digital literacy and workflow integration is key for successful adoption and improved patient outcomes.

Keywords:
PRISMAdigital healthimplementation sciencepatient-reported outcomes measuressystematic review

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Area of Science:

  • Health Informatics
  • Primary Health Care Research
  • Chronic Disease Management

Background:

  • Chronic disease management is a significant challenge in primary health care (PHC).
  • Electronic patient-reported outcome measures (ePROMs) offer potential for enhanced patient engagement and improved outcomes.
  • Current ePROM implementation in PHC shows variability in effectiveness and adoption.

Purpose of the Study:

  • To systematically review the implementation and effectiveness of ePROMs in chronic disease management within PHC.
  • To identify barriers and facilitators impacting ePROM integration in PHC settings.

Main Methods:

  • A mixed-methods systematic review adhering to Cochrane and PRISMA guidelines.
  • Included studies focused on ePROM implementation for adult chronic disease management in PHC.
  • Data extraction covered patient outcomes, workflow, implementation factors, and costs, analyzed using the RE-AIM framework.

Main Results:

  • 22 studies were included, predominantly from the US and Canada, utilizing various ePROM tools, especially mobile apps.
  • Improvements in patient outcomes and self-management were reported in 45% of studies; 55% showed no significant change.
  • Barriers included digital literacy gaps and workflow integration issues; facilitators involved patient-provider relationships and technical support. Long-term cost-effectiveness remains uncertain.

Conclusions:

  • Successful ePROM implementation in PHC requires addressing digital literacy and personalization.
  • Meaningful patient-provider interactions and seamless technology integration are crucial.
  • Further research on long-term impacts and cost-effectiveness is needed to maximize benefits of digital health technologies.