Utility and Impact of the Implementation of Same-Day, Self-administered Electronic Patient-Reported Outcomes Assessments in Routine HIV Care in two North American Clinics.
Duncan ShortRob J FredericksenHeidi M CraneEmma FitzsimmonsShivali SuriJean BaconAlexandra MustenKevin GoughMoti RamgopalJeff BerryJustin McReynoldsAbigail KrochBrenda JacobsVince HodgeDivya KorliparaWilliam LoberPublished in: AIDS and behavior (2022)
The PROgress study assessed the value and feasibility of implementing web-based patient-reported outcomes assessments (PROs) within routine HIV care at two North American outpatient clinics. People with HIV (PWH) completed PROs on a tablet computer in clinic before their routine care visit. Data collection included PROs from 1632 unique PWH, 596 chart reviews, 200 patient questionnaires, and 16 provider/staff questionnaires. During an initial setup phase involving 200 patients, PRO results were not delivered to providers; for all subsequent patients, providers received PRO results before the consultation. Chart review demonstrated that delivery of PRO results to providers improved patient-provider communication and increased the number of complex health and behavioral issues identified, recorded, and acted on, including suicidal ideation (88% with vs 38% without PRO feedback) and anxiety (54% with vs 24% without PRO feedback). In post-visit questionnaires, PWH (82%) and providers (82%) indicated that the PRO added value to the visit.
Keyphrases
- patient reported outcomes
- primary care
- end stage renal disease
- anti inflammatory
- healthcare
- newly diagnosed
- chronic kidney disease
- public health
- prognostic factors
- antiretroviral therapy
- quality improvement
- hepatitis c virus
- randomized controlled trial
- health information
- south africa
- hiv infected
- human immunodeficiency virus
- electronic health record
- systematic review
- deep learning
- depressive symptoms
- chronic pain
- social media
- sleep quality
- big data
- affordable care act