Abstract
Introduction:Patient reported outcome measures (PROMs) have been introduced as standardised outcomes, but have not been implemented widely for disease targeted pathways of care, nor for geriatric patients who prefer functional performance and quality of life.Discussion:We describe innovative multipurpose implementation of PROMs as evidenced by two best practices of PROMs application in geriatric and physiotherapy practice. We show that PROMs can show meaningful outcomes in older subjects’ patient journeys, which can at the same time serve individuals and groups of both patients and professionals.Key lesson:PROMs can deliver generic outcomes relevant for older patients, may improve patient-physician relationship, quality of care and prediction of future outcomes in geriatric care, if they are valid, reliable and responsive, but still short and simple. A precondition to make the hard tip from research to practice is that PROMs are carefully positioned in the clinical encounters and in electronic health records.
Highlights
Patient reported outcome measures (PROMs) have been introduced as standardised outcomes, but have not been implemented widely for disease targeted pathways of care, nor for geriatric patients who prefer functional performance and quality of life
In this paper we aim to systematically describe the various ways in which PROMs can be used in clinical practice, and how integrated care can be served and stimulated by directly taking profit of the information PROMs offer to patients, professionals, health care management, and researchers
Conclusions from best practices We conclude with two evidence-based examples from different settings, which illustrate how clinicians and patients may benefit when PROM registration is implemented in regular practice
Summary
Interest in patient related outcome information is a prerequisite for patient centered care, which has increasingly been recognized as ethical imperative in modern health care. Most older patients understand this continuous hurry for focus on specified information, and hardly dare to bother the medical team with a subjective evaluation of their health They intuitively prioritize helping the physician localize the objective cause of their complaints with specific complaint-linked answers, instead of discovering what globally matters most to them. Including patient reported data plays an important role as part of pay for performance and public reporting systems, but there is no evidence yet what facilitators are most effective This may be linked to the personal rewards of working with PROMs, as there is convincing data that it can improve patient-physician communication, and the effectiveness of interventions, especially when patients and professionals take the time and effort to revalue generic information on wellbeing and health related quality of life as health goals and outcomes [8, 9, 10]
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