Considerations to Support Use of Patient-Reported Outcomes Measurement Information System Pediatric Measures in Ambulatory Clinics.

Considerations to Support Use of Patient-Reported Outcomes Measurement Information System Pediatric Measures in Ambulatory Clinics.
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DOI:
10.1016/j.jpeds.2020.11.053
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发表时间:
2021-03
期刊:
The Journal of pediatrics
影响因子:
--
通讯作者:
Tucker CA
Tucker CA
中科院分区:
其他
文献类型:
--
作者:
Cox ED;Dobrozsi SK;Forrest CB;Gerhardt WE;Kliems H;Reeve BB;Rothrock NE;Lai JS;Svenson JM;Thompson LA;Tran TDN;Tucker CA

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确定在儿科门诊环境中使用患者报告结果测量信息系统(PROIS)儿科措施面临的挑战,以及解决这些挑战的可能方案。对卫生系统领导人、测量实施者和非卧床儿科临床医生进行了18次半结构化电话访谈。五名编码员使用应用主题分析反复确定和提炼访谈数据中的主题。大多数受访者在领导或实施以患者为中心的结果方面发挥了作用;39%的受访者是临床医生。一些人有临床使用Promis的经验(44%),6%的人正在考虑使用Promis。分析得到六个主题:1)PROMIS测量方法的选择,2)给药方法,3)PROMIS父母代理测量的使用,4)PROMIS反应的私密性和保密性,5)PROMIS评分的解释,6)临床使用PROMIS评分。在这些主题中,受访者阐明了与儿童一起使用PROMI的具体独特考虑因素,包括护理过渡和隐私。现实世界的挑战继续阻碍着Promis的使用。目前正在努力传播有关将PROMIS措施纳入临床护理的信息,这对影响儿童健康至关重要。
To identify challenges to the use of Patient-Reported Outcomes Measurement Information System (PROMIS) Pediatric measures in the ambulatory pediatric setting and possible solutions to these challenges. 18 semi-structured telephone interviews of health system leaders, measurement implementers, and ambulatory pediatric clinicians were conducted. Five coders used Applied Thematic Analysis to iteratively identify and refine themes in interview data. Most interviewees had roles in leadership or the implementation of patient-centered outcomes; 39% were clinicians. Some had experience using PROMIS clinically (44%) and 6% were considering this use. Analyses yielded six themes: 1) selection of PROMIS measures, 2) method of administration, 3) use of PROMIS Parent Proxy measures, 4) privacy and confidentiality of PROMIS responses, 5) interpretation of PROMIS scores, and 6) using PROMIS scores clinically. Within the themes, interviewees illuminated specific unique considerations for using PROMIS with children, including care transitions and privacy. Real world challenges continue to hamper PROMIS use. Ongoing efforts to disseminate information about the integration of PROMIS measures in clinical care is critical to impacting the health of children.
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