Jackman Liam, Kamran Rakhshan
Temerty Faculty of Medicine, University of Toronto, Toronto, Canada.
Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
J Eval Clin Pract. 2025 Jun;31(4):e70107. doi: 10.1111/jep.70107.
Healthcare is shifting from a provider-centric to a patient-centric model, emphasizing the integration of patient-reported outcome measures (PROMs) into routine practice. PROMs enhance shared decision-making and provide valuable insights into patient well-being, yet their widespread implementation is hindered by logistical challenges, time constraints, and infrastructure limitations. Digital health solutions offer a promising approach to overcoming these barriers by streamlining PROM administration, improving accessibility, and optimizing clinical integration. This article explores the transition from paper-based to digital PROM administration, the advantages of computerized adaptive testing (CAT), and the broader considerations necessary to ensure effective implementation. By leveraging digital tools and informatics strategies, healthcare systems can facilitate the meaningful adoption of PROMs to improve patient-centred care. This article can be used to advance PROM implementation across various clinical settings.
医疗保健正在从以提供者为中心的模式转变为以患者为中心的模式,强调将患者报告的结局指标(PROMs)纳入常规实践。PROMs增强了共同决策,并为患者的健康状况提供了有价值的见解,然而,其广泛实施受到后勤挑战、时间限制和基础设施限制的阻碍。数字健康解决方案提供了一种很有前景的方法来克服这些障碍,通过简化PROM管理、提高可及性和优化临床整合。本文探讨了从纸质PROM管理向数字PROM管理的转变、计算机自适应测试(CAT)的优势以及确保有效实施所需的更广泛考虑因素。通过利用数字工具和信息学策略,医疗保健系统可以促进PROMs的有意义采用,以改善以患者为中心的护理。本文可用于推动PROMs在各种临床环境中的实施。