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Synapse
September 15, 2018SHILAP Revista de lepidopterología623 citationsOpen Access

How do patient reported outcome measures (PROMs) support clinician-patient communication and patient care? A realist synthesis

JGJoanne GreenhalghKGKate GoodingEGElizabeth Gibbons

Key Points

  • To examine how patient-reported outcome measures (PROMs) support clinician-patient communication, influence patient perceptions, and shape care delivery.
  • Conducted a realist synthesis examining the underlying mechanisms and contexts through which PROMs influence communication and clinical care processes.
  • PROM completion is an active cognitive intervention rather than a neutral retrieval of information, fundamentally changing how patients conceptualize their health conditions.
  • Clinicians' uptake and utilization of PROMs are heavily shaped by professional boundaries, roles, and relational dynamics with patients rather than functioning solely as objective decision-making aids.

Abstract

This paper makes two important contributions to the literature. First, our findings show that PROMs completion is not a neutral act of information retrieval but can change how patients think about their condition. Second, our findings reveal that the ways in which clinicians use PROMs is shaped by their relationships with patients and professional roles and boundaries. Future research should examine how PROMs completion and feedback shapes and is influenced by the process of building relationships with patients, rather than just their impact on information exchange and decision making.

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Cite This Study

Greenhalgh et al. (2018) studied this question.

synapsesocial.com/papers/69db3331f7e0c66ced8358f9https://doi.org/10.1186/s41687-018-0061-6
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Also Consider

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  5. 5Delivering Better Services for People With Long-Term Conditions: Building the House of Care2013 · 170 citations