Using a multi-stakeholder co-design process to develop a health service organisation-wide patient reported outcome measure collection system.

Autor: Naude K; National Centre for Healthy Ageing, 2 Hastings Road, Frankston, VIC, Australia. kim.naude@monash.edu.; Academic Unit, Peninsula Health, Frankston, VIC, Australia. kim.naude@monash.edu., Andrew NE; National Centre for Healthy Ageing, 2 Hastings Road, Frankston, VIC, Australia.; Academic Unit, Peninsula Health, Frankston, VIC, Australia.; Peninsula Clinical School, Central Clinical School, Monash University, Melbourne, VIC, Australia., Srikanth V; National Centre for Healthy Ageing, 2 Hastings Road, Frankston, VIC, Australia.; Academic Unit, Peninsula Health, Frankston, VIC, Australia.; Peninsula Clinical School, Central Clinical School, Monash University, Melbourne, VIC, Australia., Parker E; National Centre for Healthy Ageing, 2 Hastings Road, Frankston, VIC, Australia.; Academic Unit, Peninsula Health, Frankston, VIC, Australia., Marsh L; National Centre for Healthy Ageing, 2 Hastings Road, Frankston, VIC, Australia.; Academic Unit, Peninsula Health, Frankston, VIC, Australia., Beare R; National Centre for Healthy Ageing, 2 Hastings Road, Frankston, VIC, Australia.; Academic Unit, Peninsula Health, Frankston, VIC, Australia.; Peninsula Clinical School, Central Clinical School, Monash University, Melbourne, VIC, Australia.; Developmental Imaging, Murdoch Children's Research Institute, Melbourne, VIC, Australia., McNaney R; Action Lab, Department of Human Centered Computing, Monash University, Melbourne, VIC, Australia., Snowdon DA; National Centre for Healthy Ageing, 2 Hastings Road, Frankston, VIC, Australia.; Academic Unit, Peninsula Health, Frankston, VIC, Australia.; Peninsula Clinical School, Central Clinical School, Monash University, Melbourne, VIC, Australia.
Jazyk: angličtina
Zdroj: Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation [Qual Life Res] 2024 Mar; Vol. 33 (3), pp. 619-636. Date of Electronic Publication: 2023 Dec 02.
DOI: 10.1007/s11136-023-03552-5
Abstrakt: Purpose: Limited examples exist of successful Patient Reported Outcome Measure (PROM) implementation across an entire healthcare organisation. The aim of this study was to use a multi-stakeholder co-design process to develop a PROM collection system, which will inform implementation of routine collection of PROMs across an entire healthcare organisation.
Methods: Co-design comprised semi-structured interviews with clinicians (n = 11) and workshops/surveys with consumers (n = 320). The interview guide with clinicians focused on their experience using PROMs, preferences for using PROMs, and facilitators/barriers to using PROMs. Co-design activities specific to consumers focused on: (1) how PROMs will be administered (mode), (2) when PROMs will be administered (timing), (3) who will assist with PROMs collection, and (4) how long a PROM will take to complete. Data were analysed using a manifest qualitative content analysis approach.
Results: Core elements identified during the co-design process included: PROMs collection should be consumer-led and administered by someone other than a clinician; collection at discharge from the healthcare organisation and at 3-6 months post discharge would be most suitable for supporting comprehensive assessment; PROMs should be administered using a variety of modes to accommodate the diversity of consumer preferences, with electronic as the default; and the time taken to complete PROMs should be no longer than 5-10 min.
Conclusion: This study provides new information on the co-design of a healthcare organisation-wide PROM collection system. Implementing a clinician and patient informed strategy for PROMs collection, that meets their preferences across multiple domains, should address known barriers to routine collection.
(© 2023. The Author(s), under exclusive licence to Springer Nature Switzerland AG.)
Databáze: MEDLINE
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