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在疼痛管理环境中利用患者报告结局理解医疗服务提供者的观点:一项试点研究。

Understanding providers' perspectives using patient-reported outcomes in a pain management setting: a pilot study.

作者信息

Witkin Lisa R, Kasubhai Abha, Jiang Silis Y, Gotian Ruth

机构信息

Department of Anesthesiology, Weill Cornell Medicine, NY 10065, USA.

出版信息

Pain Manag. 2024;14(4):163-172. doi: 10.2217/pmt-2023-0084. Epub 2024 Apr 4.

Abstract

This pilot study evaluated an electronic patient-reported outcomes collection system in pain management to understand providers' experiences using the data, and how it affects their patient interaction and guides their clinical decision-making. Using stratified convenience sampling, nine semi-structured interviews were conducted with consented pain physicians. The transcribed, de-identified interviews were coded and analyzed. Although most physicians utilized patient reported outcomes (PROs), one-third reported no significant change in their practice since implementation and 56% stated it does not influence their treatment recommendations. Despite the importance of measuring the impact of chronic pain on quality of life, there are significant limitations to the real-world use of PRO that may limit the patient's assessment and care.

摘要

这项试点研究评估了疼痛管理中电子患者报告结局收集系统,以了解医疗服务提供者使用这些数据的经验,以及它如何影响他们与患者的互动并指导他们的临床决策。采用分层便利抽样法,对同意参与的疼痛科医生进行了9次半结构化访谈。对转录的、去除身份信息的访谈进行编码和分析。尽管大多数医生使用患者报告结局(PROs),但三分之一的医生表示自实施以来他们的实践没有显著变化,56%的医生表示这不会影响他们的治疗建议。尽管测量慢性疼痛对生活质量的影响很重要,但PRO在实际应用中存在重大局限性,可能会限制对患者的评估和护理。

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