Webb Elinor, Parkes Rebekah J, Gough Anthony Thomas, Williams Dan H
Medical School, University of Exeter, Exeter, UK.
Department of Trauma and Orthopaedics, Royal Cornwall Hospitals NHS Trust, Truro, UK.
BMJ Case Rep. 2018 Sep 1;2018:bcr-2017-223560. doi: 10.1136/bcr-2017-223560.
Despite being straightforward to collect and key to providing patient-centred, individualised care, the routine use of patient reported outcome measures (PROMs) remains limited in the National Health Service. Herein is described the case of a 69-year-old woman who presented to secondary care with osteoarthritis. Web-based PROMs were used to track the patient's symptoms and function. Lifestyle changes were recommended to manage the osteoarthritis. Monitoring enabled the patient to take control of her disease management. Two years later, she continues to manage her knee symptoms conservatively, recording progress by using a web-based system. This case illustrates how web-based PROMs can be used to support conservative management of knee osteoarthritis by both empowering patients and minimising the burden on secondary care outpatient services.
尽管患者报告结局测量指标(PROMs)易于收集且对提供以患者为中心的个性化护理至关重要,但在英国国家医疗服务体系中,其常规使用仍然有限。本文描述了一名69岁患骨关节炎的女性到二级医疗机构就诊的病例。基于网络的PROMs被用于追踪患者的症状和功能。建议通过改变生活方式来管理骨关节炎。监测使患者能够掌控自己的疾病管理。两年后,她继续采用保守方法管理膝盖症状,并通过基于网络的系统记录进展。该病例说明了基于网络的PROMs如何通过赋予患者权力并减轻二级医疗机构门诊服务的负担,来支持膝盖骨关节炎的保守治疗。