Department of Radiation Oncology, University Hospital Tübingen, Tübingen, Germany; German Cancer Consortium (DKTK), partner site Tübingen, a partnership between DKFZ and University Hospital, Tübingen, Germany.
Department of Radiation Oncology, University Hospital Tübingen, Tübingen, Germany; German Cancer Consortium (DKTK), partner site Tübingen, a partnership between DKFZ and University Hospital, Tübingen, Germany.
Radiother Oncol. 2024 May;194:110192. doi: 10.1016/j.radonc.2024.110192. Epub 2024 Feb 29.
Electronic Patient-reported outcome measures (ePROMs) are increasingly used in radiotherapy departments. However, the impact of ePROM integration on patients' perceptions of healthcare providers, particularly in terms of empathy and professionalism, remains unclear. Thus, this study aims to assess the patients' views on healthcare professionals during ePROM-based consultations.
In this randomized trial, radiotherapy patients were enrolled and asked to evaluate video vignettes of consultations between a radiation oncologist and a patient. Two scenarios were shown in random order, one vignette portrayed a paper-chart-based clinic visit, and the other a consultation in which ePROMs were implemented. Established questionnaires such as Physician Compassion Questionnaire (PCQ), Jefferson Patient Perception of Physician Empathy (JPP), Physician Professionalism Questionnaire (PPQ) and Global Consultation Rating Scale (GCRS) were used to rate the healthcare professional. The primary endpoint was physician compassion.
Between May and August 2022, 152 patients, predominantly with malignancies of the breast, prostate, and brain participated. Patients rated the physician in ePROM-based consultations with higher mean scores for physician compassion compared to paper chart-based ones (36.4 vs. 34.2, p = 0.029). No negative impact of ePROMs was observed in terms of professionalism, global rating or physician empathy. Despite a shorter duration of the visit and reduced eye contact, 63 % of patients ultimately favored ePROM-based consultations.
The ePREFERENCE trial shows that the implementation of ePROMs in clinic visits during radiotherapy treatment positively impacts the patients' perception of the physician's compassion. ePROMs can therefore not only be considered a useful tool to improve workflows but are also broadly accepted by patients.
电子患者报告结局测量（ePROM）在放射治疗科中越来越多地使用。然而，ePROM 整合对患者对医疗保健提供者的看法的影响，特别是在同理心和专业性方面，仍不清楚。因此，本研究旨在评估患者在基于 ePROM 的咨询期间对医疗保健专业人员的看法。
在这项随机试验中，招募了放射治疗患者，并要求他们评估放射肿瘤学家与患者之间的咨询视频小插曲。以随机顺序展示了两种情况，一种小插曲描绘了基于纸质图表的诊所就诊，另一种则是实施了电子患者报告结局测量的咨询。使用了已建立的问卷，如医师同情心问卷（PCQ）、杰斐逊患者感知医师同理心（JPP）、医师专业性问卷（PPQ）和全球咨询评分量表（GCRS），来对医疗保健专业人员进行评分。主要终点是医师同情心。
在 2022 年 5 月至 8 月期间，共有 152 名患者参与，他们主要患有乳腺癌、前列腺癌和脑癌。与基于纸质图表的咨询相比，患者对基于 ePROM 的咨询中医生的评分更高，平均同情心评分更高（36.4 对 34.2，p=0.029）。在专业性、整体评分或医生同理心方面，ePROM 没有负面影响。尽管就诊时间较短且眼神交流减少，但 63%的患者最终还是更喜欢基于 ePROM 的咨询。
ePREFERENCE 试验表明，在放射治疗期间的诊所就诊中实施电子患者报告结局测量对患者对医生同情心的看法产生积极影响。因此，电子患者报告结局测量不仅可以被视为改善工作流程的有用工具，而且也被患者广泛接受。
