Department of Dermatology, University of Utah, 30 N 1900 East, 4A330, Salt Lake City, UT, 84132, USA.
Department of Population Health Sciences, University of Utah, UT, Salt Lake City, USA.
Am J Clin Dermatol. 2023 Jul;24(4):499-511. doi: 10.1007/s40257-023-00758-8. Epub 2023 Feb 1.
With more disease- and symptom-specific measures available and research pointing to increased usefulness, patient-reported outcome measures (PROMs) can be routinely used in clinical care. PROMs increase efficiency in healthcare, improve the clinician-patient relationship, and increase patient satisfaction with their care. PROMs can be administered before, during, and after clinic visits using paper-and-pencil, mobile phones, tablets, and computers. Herein, we combine available literature with expert views to discuss overcoming barriers and helping dermatologists incorporate PROMs into routine patient-centered care. We believe dermatology patients will benefit from broader PROM implementation and routine clinical use. However, a few major barriers exist: (1) cost to implement the technology, (2) selecting the right PROMs for each disease, and (3) helping both patients and clinicians understand how PROMs add to and complement their current clinical experience. We provide recommendations to assist dermatologists when considering whether to implement PROMs in their practices.
随着更多针对疾病和症状的特定测量方法的出现,以及研究表明其具有更高的实用性,患者报告的结果测量(PROM)可在临床护理中常规使用。PROM 可提高医疗保健的效率,改善医患关系,并提高患者对其护理的满意度。PROM 可以通过纸质问卷、移动电话、平板电脑和计算机在就诊前、就诊期间和就诊后进行管理。在此,我们结合现有文献和专家观点,讨论克服障碍和帮助皮肤科医生将 PROM 纳入以患者为中心的常规护理的方法。我们相信,更广泛地实施 PROM 和常规临床应用将使皮肤科患者受益。然而,目前存在一些主要障碍:(1)实施技术的成本,(2)为每种疾病选择合适的 PROM,以及(3)帮助患者和临床医生了解 PROM 如何增加并补充其当前的临床经验。在考虑是否在实践中实施 PROM 时,我们提供了一些建议以帮助皮肤科医生。