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在医疗保健环境中实施电子患者报告的结果和体验测量的促进因素和障碍:系统评价。

Facilitators and barriers to implementing electronic patient-reported outcome and experience measures in a health care setting: a systematic review.

机构信息

Physiotherapy Department, Cairns Hospital, Cairns Hinterland and Hospital Health Service, Orthopaedic Ward, D6, Cairns Hospital, 165 The Esplanade, Cairns, QLD, 4870, Australia.

School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Australia.

出版信息

J Patient Rep Outcomes. 2023 Feb 14;7(1):13. doi: 10.1186/s41687-023-00554-2.


DOI:10.1186/s41687-023-00554-2
PMID:36786914
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9928985/
Abstract

OBJECTIVE: This systematic literature review aimed to identify factors that influence the implementation of electronic patient-reported outcome measures (ePROMs) and patient-reported experience measures (ePREMs) in healthcare settings. INTRODUCTION: Improvements in health care through increased patient engagement have gained traction in recent years. Patient-reported outcome measures (PROMs) and patient-reported experience measures (PREMs) are tools used to improve the quality of care from the patient perspective. The influence of implementing PROMs and PREMs using electronic information systems (ePROMs and ePREMs) is not well understood. INCLUSION CRITERIA: Studies with information related to the implementation of ePROMs and/or ePREMs with a focus on health-related services, irrespective of provider type, were included. METHODS: A literature search of peer-reviewed databases was conducted on the 24th of January 2022 for articles about barriers and facilitators of the implementation of ePROMs/ePREMs in healthcare settings. Two reviewers independently extracted relevant findings from the included studies and performed a descriptive code-based synthesis before collaboratively creating a final consensus set of code categories, which were then mapped to the consolidated framework of implementation research (CFIR). Study quality was appraised using a mixed-methods appraisal tool (MMAT). RESULTS: 24 studies were eligible for inclusion in the screening of 626 nonduplicate studies. Quality assessment using the MMAT revealed that 20/24 studies met at least 60% of the MMAT criteria. Ninety-six code categories were identified and mapped to the constructs across all CFIR domains. CONCLUSION: To guide the effective implementation of ePROMs/ePREMs in healthcare settings, factors shown to influence their implementation have been summarised as an implementation checklist for adoption and use by clinicians, organisations, and policymakers.

摘要

目的:本系统文献回顾旨在确定影响电子患者报告结局测量(ePROMs)和患者报告体验测量(ePREMs)在医疗保健环境中实施的因素。

简介:近年来,通过提高患者参与度来改善医疗保健已引起关注。患者报告结局测量(PROMs)和患者报告体验测量(PREMs)是用于从患者角度提高护理质量的工具。使用电子信息系统(ePROMs 和 ePREMs)实施 PROMs 和 PREMs 的影响尚未得到充分理解。

纳入标准:无论提供者类型如何,包括与电子 PROMs 和/或电子 PREMs 的实施相关的信息,重点关注与健康相关的服务的研究。

方法:于 2022 年 1 月 24 日,对同行评审数据库进行了文献检索,以查找有关医疗保健环境中电子 PROMs/ePREMs 实施的障碍和促进因素的文章。两名审查员独立从纳入研究中提取相关发现,并在协作创建最终共识代码类别集之前进行基于描述性代码的综合,然后将其映射到实施研究综合框架(CFIR)。使用混合方法评估工具(MMAT)评估研究质量。

结果:24 项研究符合纳入 626 篇非重复研究的筛选标准。使用 MMAT 进行质量评估显示,20/24 项研究至少符合 MMAT 标准的 60%。确定了 96 个代码类别,并将其映射到所有 CFIR 域的结构上。

结论:为了指导电子 PROMs/ePREMs 在医疗保健环境中的有效实施,已将影响其实施的因素总结为临床医生、组织和政策制定者采用和使用的实施清单。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3625/9928985/6f719125b3e0/41687_2023_554_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3625/9928985/6f719125b3e0/41687_2023_554_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3625/9928985/6f719125b3e0/41687_2023_554_Fig1_HTML.jpg

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本文引用的文献

[1]
Stepping into the real world: a mixed-methods evaluation of the implementation of electronic patient reported outcomes in routine lung cancer care.

J Patient Rep Outcomes. 2022-6-20

[2]
Utility and Impact of the Implementation of Same-Day, Self-administered Electronic Patient-Reported Outcomes Assessments in Routine HIV Care in two North American Clinics.

AIDS Behav. 2022-7

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Examining perspectives on the adoption and use of computer-based patient-reported outcomes among clinicians and health professionals: a Q methodology study.

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Clinicians' perspectives on the integration of electronic patient-reported outcomes into dermatology clinics: a qualitative study.

Qual Life Res. 2022-6

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Real-world Evidence of Implementing eHealth Enables Fluent Symptom-based Follow-up of a Growing Number of Patients with Breast Cancer with the Same Healthcare Resources.

Clin Breast Cancer. 2022-4

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Utilizing Patient Reported Outcome Measures (PROMs) in ambulatory oncology in Alberta: Digital reporting at the micro, meso and macro level.

J Patient Rep Outcomes. 2021-10-12

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Patient perspectives on digital patient reported outcomes in routine care of inflammatory bowel disease.

J Patient Rep Outcomes. 2021-9-17

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Protocol for implementation of the 'AusPROM' recommendations for elective surgery patients: a mixed-methods cohort study.

BMJ Open. 2021-9-16

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Facilitators and barriers for implementing patient-reported outcome measures in clinical care: An academic center's initial experience.

Health Policy. 2021-9

[10]
Integration of Patient-reported Outcomes in a Total Joint Arthroplasty Program at a High-volume Academic Medical Center.

J Am Acad Orthop Surg Glob Res Rev. 2020-5

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