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Quality of Life Research

, Volume 23, Issue 5, pp 1505–1513 | Cite as

Framework to assess the effects of using patient-reported outcome measures in chronic care management

  • Maria-Jose Santana
  • David Feeny
Article

Abstract

Purpose

The inclusion of patient-reported outcome measures (PROMs) in the routine clinical care of chronically ill patients has the potential to add valuable information about the impact of the disease and its treatment and promotes effective patient self-management in which patients become more active participants in their own care. PROMs provide clinicians with timely information on patients’ symptoms as well as functional and emotional status. PROMs are a useful tool for enhancing patient–clinician communication.

Methods

We develop a conceptual framework describing the potential effects of the use of PROMs in chronic care management. The framework summarizes insights from the methods for evaluating the clinical effectiveness and methods for the health technology assessment of diagnostic technologies and results from the relevant studies.

Results

The framework describes potential effects, from proximal to distal, including communication (patient–clinician, patient–relative, clinician–clinician, and clinician–relative), engaging patients in shared clinical decision making, patient management (clinician management and patient self-management), and patient outcomes. Important potential effects also include enhancement in patient activation as well as improvements in clinician and patient satisfaction, and patient adherence to recommended treatment. Previous frameworks have described patient–physician communication, patient satisfaction, and health outcomes. Our framework adds unique domains, including patient engagement, patient activation, shared clinical decision making, and patient self-management.

Conclusions

The framework can be used as a tool to guide the development of interventions to improve chronic care management through the use of PROMs.

Keywords

Patient-reported measures Chronic care management Patient–clinician communication Patient engagement Patient self-management Share decision making Patient outcomes 

Notes

Acknowledgments

The authors would like to thank the valuable contributions from three anonymous reviewers.

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Copyright information

© Springer Science+Business Media Dordrecht 2013

Authors and Affiliations

  1. 1.W21C Research and Innovation Centre, Faculty of MedicineUniversity of CalgaryCalgaryCanada
  2. 2.Lung Transplant Program, University of Alberta HospitalUniversity of AlbertaEdmontonCanada
  3. 3.University of AlbertaEdmontonCanada

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