对收集造血细胞移植受者患者报告结果数据的实际考虑。

IF 3.1 3区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
Gemma Pugh, Christina Yiallouridou, Dawn Hart, Rachel Miller, Robert Danby
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引用次数: 0

摘要

背景:使用患者报告的结果测量(PROMs)来评估造血细胞移植(HCT)后的生活质量(QoL)的兴趣越来越大。然而,对于如何在HCT服务中收集这些数据,目前的共识有限。本调查研究调查了卫生专业人员(HCPs)对生活质量数据收集的看法和影响英国HCT中心使用prom的因素。方法:个别调查项目基于实施研究综合框架(CFIR)。CFIR由五个已知影响干预(在本例中为PROM)采用和实现的领域组成。从英国所有成人同种异体移植HCT中心收到的调查回复实现了全国覆盖。结果:研究结果表明,在英国HCT服务中,PROMs的使用是临时的,PROMs主要用作情绪健康的筛查或诊断工具,或用于包括审计在内的服务改进活动。HCPs报告说,如果PROM要标记患者问题,则由于缺乏资源、基础设施和转诊途径,患者报告的结果(PRO)数据收集受到限制。大部分HCPs(约70%)指出,通过专门的研究人员和数据管理基础设施来支持数据收集和存储,他们中心内的PRO数据将得到最好的实现。尽管越来越多的证据表明电子数据采集的实用性,但大多数HCPs(50%以上)认为,由于数据保护问题和对电子设备的访问受限,电子prom (eprom)可能难以实施。结论:这些发现突出了英国HCT服务中PRO数据收集的机遇和挑战,并证明了实际解决方案的必要性。为了支持PRO数据收集、存储和使用的综合方法,需要在HCT接收方中开发一种标准化的PROM使用方法,并对劳动力和数据管理基础设施进行投资。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Practical considerations towards the collection of patient reported outcome data among hematopoietic cell transplant recipients.

Background: There is increasing interest in using patient-reported outcome measures (PROMs) to assess quality of life (QoL) following hematopoietic cell transplant (HCT). However, there is limited consensus on how such data should be collected within HCT services. This survey study investigated health professionals (HCPs) views towards QoL data collection and factors affecting the use of PROMs within HCT centres in the UK.

Method: Individual survey items were based upon the Consolidated Framework for Implementation Research (CFIR). The CFIR consists of five domains which are known to affect intervention (in this instance PROM) adoption and implementation. National coverage was achieved with survey responses received from all UK adult allograft HCT centres.

Results: Findings indicated PROMs use in UK HCT services is ad hoc with PROMs mostly used as screening or diagnostic tools for emotional health or for service improvement activities including audits. HCPs reported that patient-reported outcome (PRO) data collection is limited by a lack of resource, infrastructure and referral pathways if the PROM were to flag a patient issue. A large proportion of HCPs (> 70%) noted that PRO data within their centre would be best enabled through dedicated research staff and data management infrastructure to support data collection and storage. Despite growing evidence of the utility of electronic data capture, most HCPs (> 50%) believed electronic PROMs (ePROMs) may be difficult to implement due to data protection issues and limited access to electronic devices.

Conclusions: These findings highlight the opportunities and challenges to PRO data collection in UK HCT services and demonstrate the need for practical solutions. The development of a standardised approach to PROM use among HCT recipients and investment in workforce and data management infrastructure is needed to support an integrated approach to PRO data collection, storage and use.

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来源期刊
Patient-Patient Centered Outcomes Research
Patient-Patient Centered Outcomes Research HEALTH CARE SCIENCES & SERVICES-
CiteScore
6.60
自引率
8.30%
发文量
44
审稿时长
>12 weeks
期刊介绍: The Patient provides a venue for scientifically rigorous, timely, and relevant research to promote the development, evaluation and implementation of therapies, technologies, and innovations that will enhance the patient experience. It is an international forum for research that advances and/or applies qualitative or quantitative methods to promote the generation, synthesis, or interpretation of evidence. The journal has specific interest in receiving original research, reviews and commentaries related to qualitative and mixed methods research, stated-preference methods, patient reported outcomes, and shared decision making. Advances in regulatory science, patient-focused drug development, patient-centered benefit-risk and health technology assessment will also be considered. Additional digital features (including animated abstracts, video abstracts, slide decks, audio slides, instructional videos, infographics, podcasts and animations) can be published with articles; these are designed to increase the visibility, readership and educational value of the journal’s content. In addition, articles published in The Patient may be accompanied by plain language summaries to assist readers who have some knowledge of, but not in-depth expertise in, the area to understand important medical advances. All manuscripts are subject to peer review by international experts.
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