Burton, Valenta, et al (2021) Adoption and use of PROs.pdf (655.63 kB)
Download fileExamining perspectives on the adoption and use of computer-based patient-reported outcomes among clinicians and health professionals: a Q methodology study
journal contribution
posted on 2022-06-01, 20:30 authored by Shirley V Burton, Annette L Valenta, Justin Starren, Joanna Abraham, Therese Nelson, Karl KochendorferKarl Kochendorfer, Ashley HughesAshley Hughes, Bhrandon Harris, Andrew BoydAndrew BoydOBJECTIVE: To determine factors that influence the adoption and use of patient-reported outcomes (PROs) in the electronic health record (EHR) among users. MATERIALS AND METHODS: Q methodology, supported by focus groups, semistructured interviews, and a review of the literature was used for data collection about opinions on PROs in the EHR. An iterative thematic analysis resulted in 49 statements that study participants sorted, from most unimportant to most important, under the following condition of instruction: "What issues are most important or most unimportant to you when you think about the adoption and use of patient-reported outcomes within the electronic health record in routine clinical care?" Using purposive sampling, 50 participants were recruited to rank and sort the 49 statements online, using HTMLQ software. Principal component analysis and Varimax rotation were used for data analysis using the PQMethod software. RESULTS: Participants were mostly physicians (24%) or physician/researchers (20%). Eight factors were identified. Factors included the ability of PROs in the EHR to enable: efficient and reliable use; care process improvement and accountability; effective and better symptom assessment; patient involvement for care quality; actionable and practical clinical decisions; graphical review and interpretation of results; use for holistic care planning to reflect patients' needs; and seamless use for all users. DISCUSSION: The success of PROs in the EHR in clinical settings is not dependent on a "one size fits all" strategy, demonstrated by the diversity of viewpoints identified in this study. A sociotechnical approach for implementing PROs in the EHR may help improve its success and sustainability. CONCLUSIONS: PROs in the EHR are most important to users when the technology is used to improve patient outcomes. Future research must focus on the impact of embedding this EHR functionality on care processes.
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Citation
Burton, S. V., Valenta, A. L., Starren, J., Abraham, J., Nelson, T., Kochendorfer, K., Hughes, A., Harris, B.Boyd, A. (2021). Examining perspectives on the adoption and use of computer-based patient-reported outcomes among clinicians and health professionals: a Q methodology study. Journal of the American Medical Informatics Association, 29(3), ocab257--. https://doi.org/10.1093/jamia/ocab257Publisher
Oxford University Press (OUP)Language
- en
issn
1067-5027Usage metrics
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Health ServicesNetworking and Information Technology R&DClinical Research7.3 Management and decision makingGeneric health relevancepatient-reported outcomesQ methodologysocio-technicalpatient-centeredComputersElectronic Health RecordsHealth PersonnelHumansPatient Reported Outcome MeasuresQuality of Health CareMedical InformaticsInformation and Computing SciencesEngineeringMedical and Health Sciences