One report, multiple aims: orthopedic surgeons vary how they use patient-reported outcomes with patients.
One report, multiple aims: orthopedic surgeons vary how they use patient-reported outcomes with patients.
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DOI：
10.1007/s11136-022-03251-7
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发表时间：
2023-03
影响因子：
3.5
通讯作者：
Franklin, Patricia D.
中科院分区：
文献类型：
--
作者：
Lavallee, Danielle C.;Rothrock, Nan E.;Chen, Antonia F.;Franklin, Patricia D.
我们对外科医生进行了半结构化定性访谈，以评估他们将基于患者报告结局指标（PROM）的共享决策报告纳入膝关节和髋关节骨关节炎手术和非手术治疗方案讨论的目标。外科医生积极招募患者参加一项研究，该研究纳入了基于标准化PROM的共享决策报告，并邀请他们参加持续30分钟的半结构化访谈。开放式问题探讨了外科医生如何使用报告内容、有帮助的、令人困惑的或可以改进的功能，以及报告的使用如何适应外科医生的工作流程。我们使用传统的内容分析方法。在16名合格的外科医生中，11名同意参与，9名完成了访谈，2名因工作需要退出。我们确定了与基于PROM的报告用途：可接受性、患者特征、沟通目标、有用内容、无用内容、挑战、培训需求和建议的改进措施相关的8个主题。传播目标（7）和挑战（8）出现了新的分主题。所有外科医生都对将该报告作为临床护理的一部分给予了积极反馈。虽然外科医生描述了使用该报告来实现不同的目标，但最常见的用途与设定术后结局的预期（89%）和教育患者（100%）有关。外科医生针对个体患者定制他们对基于PROM的报告的使用，以实现一系列目标。这项研究提出了多种机会，以进一步了解PROM的方式可以在临床实践中使用。PROM信息的直观显示和多组件报告的组合方式可以促进不同的目标。在线版本包含补充材料，可通过10.1007/s11136-022-03251-7获得。
We conducted semi-structured qualitative interviews with surgeons to assess their goals for incorporating a patient-reported outcome measure (PROM)-based shared decision report into discussions around surgical and non-surgical treatment options for osteoarthritis of the knee and hip. Surgeons actively enrolling patients into a study incorporating a standardized PROM-based shared decision report were invited to participate in a semi-structured interview lasting 30 min. Open-ended questions explored how the surgeon used report content, features that were helpful, confusing, or could be improved, and how use of the report fit into the surgeon’s workflow. We used a conventional content analysis approach. Of the 16 eligible surgeons, 11 agreed to participate with 9 completing the interview and 2 withdrawing due to work demands. We identified 8 themes related to PROM-based report use: Acceptability, Patient Characteristics, Communication Goals, Useful Content, Not Useful Content, Challenges, Training Needs, and Recommended Improvements. Additional sub-themes emerged for Communication Goals (7) and Challenges (8). All surgeons shared positive feedback about using the report as part of clinical care. Whereas surgeons described the use of the report to achieve different goals, the most common uses related to setting expectations for post-surgical outcomes (89%) and educating patients (100%). Surgeons tailor their use of a PROM-based report with individual patients to achieve a range of aims. This study suggests multiple opportunities to further our understanding of the ways PROMs can be used in clinical practice. The way PROM information is visually displayed and multi-component reports are assembled can facilitate diverse aims. The online version contains supplementary material available at 10.1007/s11136-022-03251-7.
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影响因子：
3.2
作者：
Hsieh, HF;Shannon, SE
通讯作者：
Shannon, SE
DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
--
作者：
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作者：
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通讯作者：
Dowdy SC
影响因子：
158.5
作者：
Sharma, Leena
通讯作者：
Sharma, Leena
DOI：
10.1007/s11136-020-02557-8
发表时间：
2021-11
期刊：
Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation
影响因子：
--
作者：
Franklin PD;Zheng H;Bond C;Lavallee DC
通讯作者：
Lavallee DC