Using patient-reported outcomes in routine practice: three novel use cases and implications.
Patient-reported outcomes (PROs) can show how patients perceive their illness burden over time. Active use of PROs by clinicians at the point of service can help illuminate the patients' longitudinal changes in outcomes, thereby advancing shared decision making, patient engagement, and self-care. This article offers principles and lessons learned from using PROs and provides 3 case studies to demonstrate how to overcome the challenges in using PROs in routine clinical practice to improve outcomes. These cases demonstrate that it is possible to embed patient-generated data into the flow of care and to track outcomes for improvement and research.
Department of Learning Informatics Management and Ethics and Medical Management Center, Karolinska Institutet, Stockholm, Sweden (Dr Forsberg); The Dartmouth Institute for Health Policy and Clinical Practice and the Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire (Drs Nelson, Fisher, and Weinstein and Mss Mastanduno and Weiss); and Group Health Research Institute, Seattle, Washington (Drs Reid and Grossman).
Helena Hvitfeldt
HH
Forsberg
Eugene C
EC
Nelson
Robert
R
Reid
David
D
Grossman
Melanie P
MP
Mastanduno
Lisa Torrey
LT
Weiss
Elliott S
ES
Fisher
James N
JN
Weinstein
D006304:Health Status; D006801:Humans; D019982:Organizational Case Studies; D000071066:Patient Reported Outcome Measures; D017060:Patient Satisfaction; D018802:Patient-Centered Care; D010818:Practice Patterns, Physicians'; D011320:Primary Health Care / Q000592:standards*; D058996:Quality Improvement; D011788:Quality of Life