Implementing Patient-Reported Outcome Measures into Clinical Practice Across NSW: Mixed Methods Evaluation of the First Year

Claudia Rutherford (), Rachel Campbell, Melissa Tinsley, Robyn Speerin, Linda Soars, Anna Butcher and Madeleine King
Additional contact information
Claudia Rutherford: University of Sydney, Faculty of Science, School of Psychology
Rachel Campbell: University of Sydney, Faculty of Science, School of Psychology
Melissa Tinsley: Agency for Clinical Innovation
Robyn Speerin: Agency for Clinical Innovation
Linda Soars: Western Sydney Local Health District
Anna Butcher: Northern Sydney Local health District
Madeleine King: University of Sydney, Faculty of Science, School of Psychology

Applied Research in Quality of Life, 2021, vol. 16, issue 3, No 16, 1265-1284

Abstract: Abstract Use of patient-reported measures (PRMs) in healthcare is increasing internationally. In New South Wales (NSW) Australia the implementation of a system-wide PRMs program is underway. This program is an enabler for value based healthcare. We report an evaluation (2015/16) of this program’s first year. We evaluated the program using mixed methods. People living with chronic conditions from 18 sites across NSW completed PROMIS10 at all sites; DASS21 and CAT administered at selected sites depending on patient cohorts. PRM completion rates and mean scores were calculated. Stakeholder interviews were analysed using thematic analysis. PRM completion rates were high at baseline (69%) but suboptimal at follow-up time-points. Mean scores indicated people with back pain had worse physical health and stress compared to those with other conditions. People with alcohol or drug problems had worse mental health, disease symptoms, depression and anxiety compared to other conditions. Stakeholders reported collection of PRMs could improve health outcomes for patients, enhance service delivery, and reduce avoidable hospital admissions. Routine collection and use of PRMs can be implemented across NSW care settings. Several challenges need to be overcome to realise the full benefits of the PRM program and to improve follow-up completion rates.

Keywords: Patient-reported outcomes; Health-related quality of life; Implementation; Co-design; Value based healthcare (search for similar items in EconPapers)
Date: 2021
References: View complete reference list from CitEc
Citations:

Downloads: (external link)
http://link.springer.com/10.1007/s11482-020-09817-2 Abstract (text/html)
Access to the full text of the articles in this series is restricted.

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:spr:ariqol:v:16:y:2021:i:3:d:10.1007_s11482-020-09817-2

Ordering information: This journal article can be ordered from
http://www.springer.com/journal/11482

DOI: 10.1007/s11482-020-09817-2

Access Statistics for this article

Applied Research in Quality of Life is currently edited by Daniel Shek

More articles in Applied Research in Quality of Life from Springer, International Society for Quality-of-Life Studies
Bibliographic data for series maintained by Sonal Shukla () and Springer Nature Abstracting and Indexing ().