title: Provider perceptions of the value of same-day, electronic patient-reported measures for use in clinical HIV care.
abstract: Strong evidence suggests that patient-reported outcomes (PROs) aid in managing chronic conditions, reduce omissions in care, and improve patient-provider communication. However, provider acceptability of PROs and their use in clinical HIV care is not well known. We interviewed providers (n = 27) from four geographically diverse HIV and community care clinics in the US that have integrated PROs into routine HIV care, querying perceived value, challenges, and use of PRO data. Perceived benefits included the ability of PROs to identify less-observable behaviors and conditions, particularly suicidal ideation, depression, and substance use; usefulness in agenda setting prior to a visit; and reduction of social desirability bias in patient-provider communication. Challenges included initial flow integration issues and ease of interpretation of PRO feedback. Providers value same-day, electronic patient-reported measures for use in clinical HIV care with the condition that PROs are (1) tailored to be the most clinically relevant to their population; (2) well integrated into clinic flow; and (3) easy to interpret, highlighting chief patient concerns and changes over time.
authors.affiliation: a Center for AIDS Research , University of Washington , Seattle , WA , USA.
authors.forename: R J
authors.initials: RJ
authors.lastname: Fredericksen
authors.affiliation: b Department of Medicine , University of Washington , Seattle , WA , USA.
authors.forename: J
authors.initials: J
authors.lastname: Tufano
authors.affiliation: c Department of Internal Medicine , Group Health Research Institute , Seattle , WA , USA.
authors.forename: J
authors.initials: J
authors.lastname: Ralston
authors.affiliation: d Biobehavioral Nursing and Health Systems , University of Washington , Seattle , WA , USA.
authors.forename: J
authors.initials: J
authors.lastname: McReynolds
authors.affiliation: d Biobehavioral Nursing and Health Systems , University of Washington , Seattle , WA , USA.
authors.forename: M
authors.initials: M
authors.lastname: Stewart
authors.affiliation: e Biomedical and Health Informatics , University of Washington , Seattle , WA , USA.
authors.forename: W B
authors.initials: WB
authors.lastname: Lober
authors.affiliation: f Fenway Community Health , Boston , MA , USA.
authors.forename: K H
authors.initials: KH
authors.lastname: Mayer
authors.affiliation: g Owen Clinic , UCSD Medical Center , San Diego , CA , USA.
authors.forename: W C
authors.initials: WC
authors.lastname: Mathews
authors.affiliation: h Department of Medicine/Infectious Diseases , University of Alabama at Birmingham , Birmingham , AL , USA.
authors.forename: M J
authors.initials: MJ
authors.lastname: Mugavero
authors.affiliation: b Department of Medicine , University of Washington , Seattle , WA , USA.
authors.forename: P K
authors.initials: PK
authors.lastname: Crane
authors.affiliation: i Department of Medicine, Harborview Medical Center , University of Washington , Seattle , WA , USA.
authors.forename: H M
authors.initials: HM
authors.lastname: Crane
mesh_terms: D001291:Attitude of Health Personnel; D003142:Communication; D003863:Depression / Q000175:diagnosis / Q000209:etiology; D015658:HIV Infections / Q000188:drug therapy* / Q000523:psychology; D006801:Humans; D007407:Interviews as Topic; D010347:Patient Care Planning; D000071066:Patient Reported Outcome Measures; D010465:Perception; D010817:Physician-Patient Relations; D019966:Substance-Related Disorders / Q000175:diagnosis; D059020:Suicidal Ideation; D013997:Time Factors
keywords: HIV care; Patient-reported outcomes