Chronic Condition Measurement Requires Engagement, Not Measurement Alone
| Autor: | Austin, Andrea M, Carmichael, Don, Berry, Scott, Gozansky, Wendolyn S, McQuillan, Deanna B, Ross, Colleen, Council, Lora, Nelson, Eugene C., Skinner, Jonathan S, Barr, Paul J |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Chronic condition medicine.medical_specialty Colorado Urinary incontinence Primary care 030204 cardiovascular system & hematology Ambulatory Care Facilities Article Treatment and control groups 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires medicine Humans Patient Reported Outcome Measures 030212 general & internal medicine Aged business.industry Health Policy Significant difference Primary care physician Outcome measures Physical health female genital diseases and pregnancy complications Chronic Disease Physical therapy Female medicine.symptom business |
| Zdroj: | J Ambul Care Manage |
| ISSN: | 0148-9917 |
| Popis: | Patient-reported outcome measures (PROMs) have great promise, but evidence of success is mixed. This study uses data from Dartmouth-Hitchcock Medical Center and Kaiser-Permanente Colorado to evaluate providing PROMs directly to the primary care physician. We compared changes over time in urinary incontinence, falls, and mental and physical health between clinics providing augmented PROMs (N = 202 patients) and control clinics (N = 102 patients). Both the control and treatment groups exhibited improvements, but there was no significant difference in outcomes over time. These results suggest that measuring and printing out PROMs for primary care physicians will not result in better patient outcomes without physician clinical engagement. |
| Databáze: | OpenAIRE |
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