Advancing digital patient-centered measurement methods for team-based care.

Autor:	Antonio MG; School of Information, University of Michigan, Ann Arbor, MI, USA., Davis S; School of Health Information Science, University of Victoria, Victoria, Canada., Smith M; College of Human Medicine, Michigan State University, Grand Rapids, MI, USA.; Patient Advisory Committee of the Kootenay-Boundary Collaborative Services Committee, Cranbrook, Canada., Burgener P; Patient Voices Network, Vancouver, Canada., Price M; Department of Family Practice, Innovation and Support Unit, Faculty of Medicine, University of British Columbia, Vancouver, Canada., Lavallee DC; BC SUPPORT Unit, Michael Smith Health Research BC, Vancouver, Canada.; School of Population and Public Health, University of British Columbia, Vancouver, Canada., Fletcher S; Department of Family Practice, Innovation and Support Unit, Faculty of Medicine, University of British Columbia, Vancouver, Canada., Lau F; School of Health Information Science, University of Victoria, Victoria, Canada.
Jazyk:	angličtina
Zdroj:	Digital health [Digit Health] 2022 Dec 25; Vol. 8, pp. 20552076221145420. Date of Electronic Publication: 2022 Dec 25 (Print Publication: 2022).
DOI:	10.1177/20552076221145420
Abstrakt:	Objectives: To conceptualize new methods for integrating patient-centered measurement into team-based care. Methods: A standalone portal was introduced into a rural clinic to support conceptualization of new methods for integration of patient-centered measurement in team-based care. The portal housed mental health-related online resources, three patient-reported measures and a self-action plan. Six providers and four patients used the portal for four months. Our data collection techniques included clinic discussions, one-on-one interviews, workflow diagrams and data generated through the portal. Analysis was supported through coding interview transcripts, looking across multiple sources of research data and research team discussions. Results: Our research team conceptualized five team-based patient-centered measurement methods through this study. Patient-centered measurement Team Mapping offfers a technique to provide greater clarity of care-team roles and responsibilities in data collected through patient-centered measurement. Longitudinal Care Alignment can guide the care-team on incorporating patient-centered measurement into ongoing provider-patient interactions. Digital Tool Exploration can be used to evaluate a team's readiness toward digital tool adoption, and the impact of these tools. Team-based quality improvement serves as a framework for engaging teams in patient-centered quality improvement. Shared learning is a method that promotes patientprovider interactions that validate patient's perspectives of their care. Conclusion: The portal illuminated new methods for the integration of patient-centered measurement in team-based care. The first three proposed patient-centered measurement methods provides ways to assess how a clinic can incorporate patient-centered measurement methods into team-based care. The latter two methods focus on the aim of patient-generated data in which patient's values and perspectives are represented and quality of patient-centered care can be evaluated. Further testing is needed to assess the utility of these patient-centered measurement methods across different clinical settings and domains. Competing Interests: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© The Author(s) 2022.)
Databáze:	MEDLINE
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