利用新颖的收集和报告平台在常规乳腺癌护理服务中实施患者报告结果测量的可行性。

IF 2.5 Q2 HEALTH CARE SCIENCES & SERVICES
JAMIA Open Pub Date : 2023-12-26 eCollection Date: 2023-12-01 DOI:10.1093/jamiaopen/ooad108
Elena Tsangaris, Colby Hyland, George Liang, Joanna O'Gorman, Dany Thorpe Huerta, Ellen Kim, Maria Edelen, Andrea Pusic
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引用次数: 0

摘要

目的:imPROVE 是一种新的健康信息技术平台,可通过手机应用程序系统地收集患者报告的结果指标 (PROM)。本研究旨在介绍我们在乳腺和整形外科诊所治疗的乳腺癌患者中实施 imPROVE 的初步经验和方法:我们描述了 2021 年 6 月至 2022 年 2 月期间分 4 个阶段实施的初步情况:实施前,随后是 3 个连续的实施期(P1、P2、P3)。本研究以《实施研究报告标准》为指导。迭代式计划-执行-研究-行动(PDSA)周期为实施工作提供了支持,成功与否则通过 "覆盖面"、"有效性"、"采用"、"实施 "和 "维护 "框架进行评估:结果:在实施前阶段进行的定性访谈得出了 4 个可感知的实施障碍。在每个实施阶段收集的进一步反馈意见促成了小册子、诊所空间海报和诊所员工脚本的开发,以简化与患者的讨论,并解决了与患者登录功能有关的技术问题,如与手机软件的兼容性和下载 imPROVE 的障碍。反馈意见还提出了促进医疗服务提供者解释 PROM 结果的想法。到 P3 结束时,2961 名患者符合条件,1375 人(46.4%)下载了 imPROVE,1070 人(占符合条件者的 36.1%,下载者的 78%)至少完成了 1 个 PROM:两家学术教学医院的两个外科部门在实施过程中开展了跨临床专科合作,并为接受乳腺癌治疗的患者提供了纵向PROM报告;实施过程中还凸显了患者在使用基于移动应用程序的PROM收集方面遇到的困难,尤其是在初始参与方面。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Feasibility of implementing patient-reported outcome measures into routine breast cancer care delivery using a novel collection and reporting platform.

Objectives: imPROVE is a new Health Information Technology platform that enables systematic patient-reported outcome measure (PROM) collection through a mobile phone application. The purpose of this study is to describe our initial experience and approach to implementing imPROVE among breast cancer patients treated in breast and plastic surgery clinics.

Materials and methods: We describe our initial implementation in 4 phases between June 2021 and February 2022: preimplementation, followed by 3 consecutive implementation periods (P1, P2, P3). The Standards for Reporting Implementation Studies statement guided this study. Iterative Plan-Do-Study-Act (PDSA) cycles supported implementation, and success was evaluated using the Reach, Effectiveness, Adoption, Implementation, and Maintenance framework.

Results: Qualitative interviews conducted during the preimplementation phase elicited 4 perceived implementation barriers. Further feedback collected during each phase of implementation resulted in the development of brochures, posters in clinic spaces, and scripts for clinic staff to streamline discussions with patients, and the resolution of technical issues concerning patient login capabilities, such as compatibility with cell phone software and barriers to downloading imPROVE. Feedback also generated ideas for facilitating provider interpretation of PROM results. By the end of P3, 2961 patients were eligible, 1375 (46.4%) downloaded imPROVE, and 1070 (36.1% of those eligible, 78% of those who downloaded) completed at least 1 PROM.

Discussion and conclusion: Implementation efforts across 2 surgical departments at 2 academic teaching hospitals enabled collaboration across clinical specialties and longitudinal PROM reporting for patients receiving breast cancer care; the implementation effort also highlighted patient difficulties with mobile app-based PROM collection, particularly around initial engagement.

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来源期刊
JAMIA Open
JAMIA Open Medicine-Health Informatics
CiteScore
4.10
自引率
4.80%
发文量
102
审稿时长
16 weeks
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