Abstract
BackgroundSubstantial literature has highlighted the importance of patient-reported outcome and experience measures (PROMs and PREMs, respectively) to collect clinically relevant information to better understand and address what matters to patients. The purpose of this systematic review is to synthesize the evidence about how healthcare providers implement individual-level PROMs and PREMs data into daily practice.MethodsThis mixed methods systematic review protocol describes the design of our synthesis of the peer-reviewed research evidence (i.e., qualitative, quantitative, and mixed methods), systematic reviews, organizational implementation projects, expert opinion, and grey literature. Keyword synonyms for “PROMs,” PREMs,” and “implementation” will be used to search eight databases (i.e., MEDLINE, CINAHL, PsycINFO, Web of Science, Embase, SPORTDiscus, Evidence-based Medicine Reviews, and ProQuest (Dissertation and Theses)) with limiters of English from 2009 onwards. Study selection criteria include implementation at the point-of-care by healthcare providers in any practice setting. Eligible studies will be critically appraised using validated tools (e.g., Joanna Briggs Institute). Guided by the review questions, data extraction and synthesis will occur simultaneously to identify biographical information and methodological characteristics as well as classify study findings related to implementation processes and strategies. As part of the narrative synthesis approach, two frameworks will be utilized: (a) Consolidated Framework for Implementation Research (CFIR) to identify influential factors of PROMs and PREMs implementation and (b) Expert Recommendations for Implementing Change (ERIC) to illicit strategies. Data management will be undertaken using NVivo 12TM.DiscussionData from PROMs and PREMs are critical to adopt a person-centered approach to healthcare. Findings from this review will guide subsequent phases of a larger project that includes interviews and a consensus-building forum with end users to create guidelines for implementing PROMs and PREMs at the point of care.Systematic review registrationPROSPERO CRD42020182904.
Highlights
Substantial literature has highlighted the importance of patient-reported outcome and experience measures (PROMs and patient-reported experience measures (PREMs), respectively) to collect clinically relevant information to better understand and address what matters to patients
Data from Patient-reported outcome measures (PROMs) and PREMs are critical to adopt a person-centered approach to healthcare
To inform and plan patient care, PROMs and PREMs can be collected by Healthcare provider (HCP) for various purposes: screening, assessment, monitoring, planning, and evaluating care as well as creating decision aids [6, 7]
Summary
Substantial literature has highlighted the importance of patient-reported outcome and experience measures (PROMs and PREMs, respectively) to collect clinically relevant information to better understand and address what matters to patients. To inform and plan patient care, PROMs and PREMs can be collected by HCPs for various purposes: screening, assessment, monitoring, planning, and evaluating care (e.g., interventions, treatment, referrals, and tests) as well as creating decision aids [6, 7] Both PROMs and PREMs are intended to provide assessment data about patients’ health thereby complimenting HCPs use of clinician-based outcomes (CBOs), biological measures, and physical examination. As a result, such conversations lead to shared decision-making, improved patient-clinician communication, detection of overlooked problems, and tailored process monitoring thereby ensuring quality individualized care [4, 8,9,10]
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