糖尿病患者常规护理中PROMIS-29的实施：挑战与机遇
Implementation of the PROMIS-29 in Routine Care for People With Diabetes: Challenges and Opportunities.
作者信息
Scholle Sarah Hudson, Morton Suzanne, Homco Juell, Rodriguez Kristin, Anderson Daren, Hahn Elizabeth, Kendrick David, Bardach David, Hart Elizabeth
机构信息
National Committee for Quality Assurance, Washington, District of Columbia (Drs Scholle and Bardach and Ms Hart); American Society for Nutrition, Rockville, Maryland (Ms Morton); The University of Oklahoma School of Community Medicine, Tulsa (Mss Homco and Rodriguez and Dr Kendrick); Weitzman Institute, Community Health Center, Inc, Middletown, Connecticut (Dr Anderson); and Northwestern University Feinberg School of Medicine, Chicago, Illinois (Ms Hahn).
出版信息
J Ambul Care Manage. 2018 Oct-Dec;41(4):274-287. doi: 10.1097/JAC.0000000000000248.
Using patient-reported outcome measures (PROMs) in care planning has the potential to improve care, but information about routine implementation in settings serving disadvantaged groups is needed. Two primary care clinics serving populations predominantly eligible for Medicaid and diverse in race/ethnicity implemented the PROMIS-29 as part of clinical care planning. Of the target population with diabetes, 26% (n = 490) completed the PROMs; the proportion that set a goal based on the PROMs differed by site. This report describes factors influencing the PROMs process and the results of interviews with patients and members of the care team about PROMs' implementation and impact.
在护理计划中使用患者报告的结局指标（PROMs）有改善护理的潜力，但需要有关在为弱势群体服务的环境中常规实施的信息。两家主要为符合医疗补助资格且种族/族裔多样的人群提供服务的初级保健诊所，将PROMIS-29作为临床护理计划的一部分予以实施。在患有糖尿病的目标人群中，26%（n = 490）完成了PROMs；根据PROMs设定目标的比例因地点而异。本报告描述了影响PROMs流程的因素，以及对患者和护理团队成员就PROMs的实施及影响进行访谈的结果。
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