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Patient Satisfaction with Collection of Patient-Reported Outcome Measures in Routine Care

Abstract

Introduction

Systematic collection of patient-reported outcome measures (PROMs) during ambulatory clinic visits can enhance communication between patient and provider, and provide the ability to evaluate outcomes of care. Little is known about patient satisfaction of PROM data collection in routine clinical care. To evaluate patient reaction to the routine collection of PROMs in the ambulatory setting.

Methods

Before all ambulatory clinic visits at our neurological institute, patients electronically complete health status questionnaires. We administered an 8-question patient satisfaction survey to a sample of patients seen across the institute after their clinical visit.

Results

Of 343 patients approached, 323 agreed to participate. The majority responded that the questionnaire system was easy to use, was an appropriate length, and benefited their care overall (strongly agree or agree = 92.3%, 87.6%, and 77.3%, respectively). Provider review of the PROMs with the patient during the clinic visit was associated with significantly higher positive responses to all questions, even those regarding logistical aspects of the collection process. There were significant age and race differences in response to perceived benefit: those in the Black/other race category had a markedly lower probability of viewing the process favorably with increasing age.

Conclusions

Systematic collection of PROMs via an electronic questionnaire appears to be well accepted by patients. A minority of patients did not feel the questionnaire content applied to their appointment or that the system was a beneficial feature of the clinical practice. The provider can significantly improve the patient’s perception of PROM collection and the patient–physician encounter by reviewing the questionnaire results with the patient.

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Acknowledgements

Funding for this study and article processing charges were provided by the Wuliger Foundation. We would like to thank providers in the Neurological Institute for their active participation in the Knowledge Program and unwavering dedication to optimizing patient care. We thank Cassandra Talerico, PhD, a salaried employee of the Cleveland Clinic, who provided editorial advice. Irene Katzan, Cheryl Dunphy and John Urchek participated in the study design. Cheryl Dunphy and Jesse Schuschu implemented the survey. Nicholas Thompson performed the statistical analysis. Pablo Recinos and Irene Katzan drafted the initial version of the manuscript; all authors participated in critical review and revision of the manuscript. Irene Katzan is the overall guarantor of the data and contents of the manuscript. All named authors meet the International Committee of Medical Journal Editors (ICMJE) criteria for authorship for this manuscript, take responsibility for the integrity of the work as a whole, and have given final approval for the version to be published.

Disclosures

Nicolas Thompson has received grant support from Novartis, Inc for research unrelated to this manuscript. Pablo F. Recinos, Cheryl J. Dunphy, Jesse Schuschu, John L. Urchek III and Irene L. Katzan have nothing to disclose.

Compliance with Ethics Guidelines

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Verbal informed consent was obtained from all participants included in the study.

Data Availability

The datasets during and/or analyzed during the current study are available from the corresponding author on reasonable request.

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Correspondence to Irene L. Katzan.

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Recinos, P.F., Dunphy, C.J., Thompson, N. et al. Patient Satisfaction with Collection of Patient-Reported Outcome Measures in Routine Care. Adv Ther 34, 452–465 (2017). https://doi.org/10.1007/s12325-016-0463-x

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Keywords

  • Clinical research
  • Electronic survey
  • Patient satisfaction
  • Patient-reported outcome measures