Pasma Annelieke, van Lint Céline, Hollander Monique Ardon-den, Bruinsma Sophie M, Peters Ingrid A
Department of Quality and Patient Care, Erasmus MC University Medical Center, Rotterdam, the Netherlands.
Digit Health. 2024 Dec 19;10:20552076241293975. doi: 10.1177/20552076241293975. eCollection 2024 Jan-Dec.
Patient reported outcomes are used to assess the impact of medical interventions on perceived health in both clinical trials and daily care. Further, patient-reported outcome measures (PROMs) optimize the consultation. However, patient completion of PROMs before their consultation, and healthcare provider's (HCP) use of PROMs in their consultation are suboptimal. In this cross-sectional study, we examined whether viewing a PROM dashboard before or during consultation consecutively resulted in higher patient completion of PROMs.
As part of regular care, patients were asked to fill out PROMs prior their consultation. HCPs' dashboard views were logged. A chi-square test was performed on dashboard viewed (yes/no) with consecutively filling out PROMs (yes/no). The odds ratio (OR) of consecutively filling out PROMs after a dashboard view was calculated.
38.016 consecutive appointments were linked to a previous appointment in which a dashboard could be viewed. In 2740 cases, a dashboard was viewed by the HCP, against 35.276 cases in which a dashboard was not viewed. Follow-up adherence in completing PROMs was 49%. The chi-square test showed statistical significance of < .001. The OR of filling out a consecutive PROM when a dashboard was viewed was 3.16 ( < .001, 95% CI [2.9-3.5]).
Patients are more likely to complete PROMs for their follow-up appointment when an HCP has viewed PROMs during or before consultation. HCPs should be aware of their responsibility in addressing PROMs, because using PROMs in consultation does not only have a positive effect on communication, but also on patient completion of PROMs.
患者报告结局用于评估医学干预措施在临床试验和日常护理中对感知健康的影响。此外，患者报告结局测量指标（PROMs）可优化会诊。然而，患者在会诊前完成PROMs以及医疗服务提供者（HCP）在会诊中使用PROMs的情况并不理想。在这项横断面研究中，我们调查了在会诊前或会诊期间查看PROM仪表盘是否会使患者更高比例地完成PROMs。
作为常规护理的一部分，患者被要求在会诊前填写PROMs。记录HCP对仪表盘的查看情况。对查看仪表盘（是/否）与连续填写PROMs（是/否）进行卡方检验。计算查看仪表盘后连续填写PROMs的优势比（OR）。
38016次连续预约与之前一次可以查看仪表盘的预约相关联。在2740例中，HCP查看了仪表盘，而未查看仪表盘的有35276例。完成PROMs的随访依从率为49%。卡方检验显示统计学显著性<0.001。查看仪表盘时连续填写PROM的OR为3.16（<0.001，95%CI[2.9 - 3.5]）。
当HCP在会诊期间或会诊前查看了PROMs时，患者更有可能为其后续预约完成PROMs。HCP应意识到他们在处理PROMs方面的责任，因为在会诊中使用PROMs不仅对沟通有积极影响，而且对患者完成PROMs也有积极影响。
