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Practical guide for the selection of digital solutions oriented to PROMs and PREMs in the hospital pharmacy
Roberto Collado-Borrell1, Loreto Domínguez Senín2, Luis Margusino-Framiñán3,4
1Pharmacy Service, Gregorio Maranon General University Hospital Pharmacy Service, Madrid, Spain.
Objectives:
Integrating patient-reported outcome measures (PROMs) and patient-reported experience measures (PREMs) is essential for advancing towards patient-centred care. Implementation of these measures faces challenges, including the selection of appropriate instruments and the lack of digital tools that meet clinical and operational requirements. The objectives of this study were to identify and describe the essential functionalities that digital tools should provide to facilitate the implementation of PROMs and PREMs from hospital pharmacy services and to assess their level of implementation in clinical practice.
Methods:
An expert working group conducted a multiphase methodological and descriptive study between March and October 2024. Through literature review and structured expert panel consensus, a checklist of 15 essential functionalities was defined. This checklist was applied to nine digital tools used or in development in Spanish hospitals. Additionally, a national descriptive cross-sectional web-based survey, distributed via Google Forms, was conducted among 75 hospital pharmacy services to assess the current status of implementation of PROMs/PREMs.
Results:
The checklist includes functionalities grouped into three domains: data and information management, system function and interaction and clinical use of reports. The evaluation revealed high variability in compliance: while features such as graphical display, remote access and questionnaire validation were commonly present, key aspects such as clinical calendar integration and dynamic questionnaire personalisation were less developed. The findings of the survey highlight a low level of adoption, with only 8% of centres collecting PROMs/PREMs digitally and 7% using them for real-time patient monitoring. Despite this, 91% of respondents agreed that these tools should be structurally integrated into hospital pharmacy services.
Conclusions:
This study proposes a set of essential functionalities for evaluating digital tools aimed at collecting PROMs/PREMs in hospital pharmacies. The findings highlight substantial variability in functionality and limited implementation in routine practice, supporting the need for tools that are better aligned with clinical and operational requirements.
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