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The Role of Technical Advances in the Adoption and Integration of Patient-reported Outcomes in Clinical Care

Bibliographic Data

ID9103080
AuthorsRoxanne E Jensen (0000-0002-4632-1091, Georgetown University, corresponding author), Nan E Rothrock, Nan Rothrock (0000-0002-4821-5030, Northwestern University), Esi Morgan DeWitt (University of Cincinnati), Brennan Spiegel (0000-0002-4608-6896, Cedars-Sinai Medical Center), Carole A Tucker (0000-0002-9408-5898, Temple University), Heidi M Crane (0000-0002-3308-7005, Georgetown University, corresponding author), Christopher B Forrest (0000-0003-1252-068X, Northwestern University), Donald L Patrick (0000-0003-0756-0492, Cedars-Sinai Medical Center), Rob Jay Fredericksen (0000-0003-3936-7048, Georgetown University, corresponding author), Rob Fredericksen, Lisa M Shulman (0000-0002-1652-1201, University of Maryland, Baltimore), David Cella (0000-0002-9881-4541, Northwestern University), Paul K Crane (0000-0003-4278-7465, University of Washington)
Year2015
Volume53
Issue2
Pages153-159
Publication date2015-02-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0000000000000289
PMID25588135
OpenAlexW2049314982
LanguageEN
Citations received18
References cited42

BACKGROUND: Patient-reported outcomes (PROs) are gaining recognition as key measures for improving the quality of patient care in clinical care settings. Three factors have made the implementation of PROs in clinical care more feasible: increased use of modern measurement methods in PRO design and validation, rapid progression of technology (eg, touchscreen tablets, Internet accessibility, and electronic health records), and greater demand for measurement and monitoring of PROs by regulators, payers, accreditors, and professional organizations. As electronic PRO collection and reporting capabilities have improved, the challenges of collecting PRO data have changed. OBJECTIVES: To update information on PRO adoption considerations in clinical care, highlighting electronic and technical advances with respect to measure selection, clinical workflow, data infrastructure, and outcomes reporting. METHODS: Five practical case studies across diverse health care settings and patient populations are used to explore how implementation barriers were addressed to promote the successful integration of PRO collection into the clinical workflow. The case studies address selecting and reporting of relevant content, workflow integration, previsit screening, effective evaluation, and electronic health record integration. CONCLUSIONS: These case studies exemplify elements of well-designed electronic systems, including response automation, tailoring of item selection and reporting algorithms, flexibility of collection location, and integration with patient health care data elements. They also highlight emerging logistical barriers in this area, such as the need for specialized technological and methodological expertise, and design limitations of current electronic data capture systems

Business · Clinical trial · Data collection · Electronic data · Electronic data capture · Flexibility (engineering) · Health care · Health information technology · Knowledge management · Process management · Quality (philosophy) · Workflow · Cancer survivorship and care · Computer Science · Electronic Health Records Systems · Medicine · Patient Satisfaction in Healthcare

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Unique citing works18
Citations per year1,64
Citation span2015 - 2022 (8)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 18

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