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The Use of Patient-Reported Measures Collected Data in Primary Care: A Systematic Review
Oona Tchitcherin1,2, An Chen1,2,3, Kirsi Väyrynen1,4
1Department of Obstetrics and Gynecology, Helsinki University Hospital, Helsinki, Finland.
Abstract:
This systematic review aims to explore the utilization of patient-reported measures (PRMs) in primary care, focusing on healthcare providers' use of PRM data and factors influencing its effectiveness. Following the PRISMA 2020 guidelines, we registered the review in PROSPERO (CRD420251030695) and screened 2465 records, ultimately including eight studies. Data extraction and quality appraisal were conducted using a structured approach and the Mixed Methods Appraisal Tool (MMAT). Findings suggest that effective PRM data use depends on integration into electronic health records (EHRs) and clinical workflows, with barriers including technical limitations and organizational culture. PRM data can support clinical decision-making, shared decision-making, and communication and support professional empowerment and resource optimization. However, evidence quality was moderate, and conclusions should be interpreted with caution due to the small number of studies. Differences in health systems and study heterogeneity further constrain generalizability. This review highlights the need for seamless EHR integration, streamlined instruments, and active professional engagement to optimize PRM implementation, while identifying a critical research gap and calling for future studies on cost-effectiveness and equity impacts.
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