In health care, there is a goal to provide patient-centred care (PCC) as a hallmark of achieving effective, quality health care. What this means is that care focuses on the needs and perspectives of the patient. As such, health care providers are faced with the challenge focus on what matters to the patient during their encounters with the health system.
One problem that needs solving is: how do we assist health care providers to incorporate assessment tools that are patient-centred (also referred to as patient-centered measurement (PCM)), and how can health care providers routinely use this information to inform patients’ care?
To address these questions, we studied how providers can interpret and integrate data from patient-centered measurement assessments (experience and outcome tools) into routine clinical care, through a systematic review, provider interviews, and stakeholder review of our findings at a deliberative dialogue forum.
Our project developed a resource guide for and about clinicians that complements other existing resources about PCM implementation. The focus is on the use of PCM to facilitate shared decision-making between providers and patients (as well as caregivers) at the point of care. Specifically, the guide provides information about the needs of clinicians to incorporate PCMs into practice. Also, identified are some strategies to address clinicians’ needs, identify facilitators, and mitigate barriers.
How to use the Guide
This Resource Guide complements other existing resources about PCM implementation with a specific focus on the healthcare providers who use the PCM tools.
The guide provides information about the needs of clinicians to incorporate PCMs into practice.
This guide could be used in various situations:
The information is based on clinicians’ “real world” experiences that can be adapted to the local context. Individuals can determine how to use this information for their own goals and needs based on local/organizational contexts. Also, identified are some strategies to address clinicians’ needs, identify facilitators, and mitigate barriers.
The findings fall under three headings: capability, motivation, and opportunity. Browse the top six aspects below:
Ability or proficiency acquired through training and/or practice
Develop clinical competence using PCMs
Most important skill acquisition is interpretation of PCMs to understand its clinical significance (e.g., summary scores, item or subscale scores, and score changes) to inform care decisions and planning
Interpersonal skills are necessary to administer PCM tools and discuss the results to inform care
PCMs can be used in conjunction with other data elicited by clinicians (e.g., health history, physical assessment, test results) to support clinical judgment, opinions, and decisions
Interpretation of PCM data/scores can be used to make clinical decisions and review treatment options with patients to tailor their care
Wolff, A.C., Dresselhuis, A., Hejazi, S. et al. Healthcare provider characteristics that influence the implementation of individual-level patient-centered outcome measure (PROM) and patient-reported experience measure (PREM) data across practice settings: a protocol for a mixed methods systematic review with a narrative synthesis. Syst Rev 10, 169 (2021). https://doi.org/10.1186/s13643-021-01725-2
“TWU RESEARCHERS ABNER KOONER, LILLIAN LI, AND GABRIELLA COLLINS ADVANCE PATIENT-CENTERED PRACTICES IN CANADIAN HEALTHCARE”
December 2021: Methods Matters Webinar (see below)
October 2021: International Society for Quality of Life (ISOQOL) annual conference, three workshops and one group symposium:
October 2021: ISOQOL, Calgary, Oral Presentation, Using Qualitative Interviews and Deliberative Dialogue to Triangulate Systematic Review Findings about Clinicians Use of Patient-Reported Outcome Measures (PROMs) in Daily Practice (watch presentation below)
June 2021: University of Sheffield Oral Presentation, Embedding Patient-Report Outcome Measures in the Curriculum: Lessons Learned from Student Physiotherapy Education based on a Mixed Methods Study – download slides
June 2021: PROMs Down Under, two poster presentations (with audio recording)
August 2020: TWU Research and Creativity Symposium, Oral presentation, Using NVivoTM for Data Extraction and Synthesis in Systematic Reviews
October 2020: ISOQOL, Prague, Poster Presentation, Healthcare providers’ implementation of patient-report outcome and experience measures in clinical practice: A mixed method systematic review using an implementation science framework
Developing Clinical Decision Tools and Hosting Educational Events to Disseminate an Evidence‐based Resource Guide for the Sustained Use of Patient‐Centered Measurement Data in Mental Health (2021-2022), MSFHR Reach (15,000). Principal Investigator: Wolff, A.C. Co-investigators: Neptune, A., Yaghoub Zadeh, Z., Musto, L., and Jones, B. (patient partner)
Nelly D. Oelke
Seyi (Oluseyi) Oyedele
Ivy (Ivyline) Williams
Dennis McKintuck Dip Mech Eng
If you’re in a rush, check out these snack-size highlights:
Watch the full webinar: