title: Patient-reported outcome measures: an on-line system empowering patient choice.
abstract: An innovative web-based system was developed to allow patient-reported outcome measures (PROMs) to be easily administered. Stakeholders guided the design and implementation. The software gives patients access to their current and previous scores. This pilot study focused on patients undergoing arthroscopic subacromial decompression, evaluated using the Oxford shoulder score (OSS). Patients showing good improvement in their OSS were offered the choice to return for routine follow-up clinic appointments, or continue rehabilitation, reassured by their improved score. Thirty-six of 117 patients were eligible. Thirty of these (83%) were opted to avoid further clinics. PROMs 2.0 can be used for any medical intervention with a validated PROM. Evolution and refinement is ongoing. Funding has been granted for 12 primary and secondary healthcare trusts to implement PROMs 2.0. Further work is needed to assess economic impact, patient views and satisfaction with the process.
authors.affiliation: Department of Trauma and Orthopaedics, North West Deanery, Manchester, UK.
authors.forename: J
authors.initials: J
authors.lastname: Wilson
authors.affiliation: Centre for Health and Social Care Informatics, School of Computing and Mathematical Science, Liverpool John Moores University, Liverpool, UK.
authors.forename: F
authors.initials: F
authors.lastname: Arshad
authors.affiliation: School of Computing and Mathematical Science, Liverpool John Moores University, Liverpool, UK.
authors.forename: N
authors.initials: N
authors.lastname: Nnamoko
authors.affiliation: Trafford Healthcare NHS Trust, Manchester, UK.
authors.forename: A
authors.initials: A
authors.lastname: Whiteman
authors.affiliation: Department of Trauma and Orthopaedics, North West Deanery, Manchester, UK.
authors.forename: J
authors.initials: J
authors.lastname: Ring
authors.affiliation: Trafford Healthcare NHS Trust, Manchester, UK.
authors.forename: B
authors.initials: B
authors.lastname: Roy
mesh_terms: D001182:Arthroscopy; D006801:Humans; D009862:Online Systems; D063868:Patient Outcome Assessment; D010358:Patient Participation; D010865:Pilot Projects; D012720:Severity of Illness Index; D019534:Shoulder Impingement Syndrome / Q000601:surgery; D012984:Software; D012985:Software Design
keywords: Innovation; Measure; Outcome; Patient Choice; clinical decision support; eHealth