Cancer Care Team's Management of Clinical Alerts Generated by Electronically Collected Patient Reported Outcomes: We Could Do Better.
Orlando RinconesAdeola Bamgboje-Ayodele B Tech MSc PhDAnthony ArnoldGeoffrey P DelaneyIvana DurcinoskaSandra AveryTiffany SandellStephen A Della-FiorentinaJoanne Pearsonnull The Prompt-Care Co-Authorship GroupAfaf GirgisPublished in: International journal of environmental research and public health (2023)
Electronically administered patient-reported outcome measures (ePROMs) are effective digital health tools for informing clinicians about cancer patients' symptoms and facilitating timely patient-centred care. This paper describes the delivery of healthcare activities supported by the PROMPT-Care model, including ePROMs generated clinical alerts, cancer care team (CCT) response to alerts, and patients' perceptions of the CCT response and ePROMs system. This mixed-methods study includes cancer patients from four cancer therapy centres in New South Wales, Australia. Quantitative and qualitative data were collected regarding clinical alert activity, CCT response, and patient perceptions of the CCT responses and ePROMs system. Qualitative data were thematically analysed. Of the 328 participants whose care was informed by the digital health tool, 70.8% ( n = 233) generated at least one alert during the trial period, with 877 alerts generated in total. Although 43.7% ( n = 383) were actioned by the CCT, at least 80% of participants found follow-up CCT phone calls beneficial, with multiple benefits confirmed in interviews. The cancer care delivery arm of the PROMPT-Care trial involving clinical alerts to the CCT was positively perceived by most participants, resulting in a diverse range of benefits. However, further work is required, informed by implementation science, to improve the percentage of actioned clinical alerts.
Keyphrases
- healthcare
- palliative care
- quality improvement
- patient reported outcomes
- public health
- study protocol
- primary care
- mental health
- patient reported
- cancer therapy
- clinical trial
- case report
- depressive symptoms
- health information
- electronic health record
- phase iii
- phase ii
- risk assessment
- mass spectrometry
- pain management
- human health
- big data
- social support
- machine learning
- high resolution
- data analysis
- climate change