- Montreal Accord Paper 9: Anonymization and Ethics Considerations for Capturing and Sharing Patient-Reported Outcomes
- Montreal Accord Paper 8: Patient Reported Outcomes (PRO) in Electronic Health Records Can Inform Clinical and Policy Decisions
- Montreal Accord Paper 6: Creating National Initiatives to Support Patient Reported Outcomes (PRO) Development and Use
- Montreal Accord Paper 5: Patient-Reported Outcomes Can Be Linked to Epidemiologic Measures to Monitor Populations and Inform Public Health Decisions
- Montreal Accord Paper 4: Patient-Reported Outcomes Can Inform Clinical Decision Making in Chronic Care
- Montreal Accord Paper 3: Patient Reported Outcomes (PRO) Can Facilitate Shared Decision-Making and Guide Self-Management
- Montreal Accord Paper 2: Terminology Proposed to Measure What Matters in Health
- Montreal Accord Paper 1: Pragmatic Trials and Real-World Evidence
Patient Reported Outcomes (PRO)
Paper 3: Facilitating Shared Decision-Making and Guide Self-Management
Noonan VK, Lyddiatt A, Ware P, Jaglal SB, Riopelle RJ, Bingham CO 3rd, Figueiredo S, Sawatzky R, Santana M, Bartlett SJ, Ahmed S
Background
There is a shift towards making health care patient-centred whereby patients are part of medical decision-making and take responsibility for managing their health. Patient-reported outcomes (PROs) capture the patient voice and can be used to engage patients in medical decision-making.
Objective
The objective of this paper is to present important factors from patients’, clinicians’, researchers’, and decision-makers’ perspectives that influence successful adoption of PROs in clinical practice. Factors recommended in this paper were informed by a patient partner.
Discussion
Based on themes arising from the Montreal Accord proceedings we describe factors that influence the adoption of PROs, and how PROs can have a positive effect by enhancing communication and providing opportunities to engage patients, carers, and clinicians in care. Consideration of patient factors (e.g. health literacy), family support and networks (e.g. peer-support networks), technology (e.g. e-health) and healthcare system factors (e.g. resources to implement PROs) is necessary to ensure PROs are successfully adopted. PRO evaluation plans most likely to succeed over the long-term are those incorporating PROs identified by patients as necessary for self-management and that coincide with providers’ needs for collaboratively developing treatment plans with patients and families.
J Clin Epidemiol. 2017 Apr 19. pii: S0895-4356(17)30413-4. doi: 10.1016/j.jclinepi.2017.04.017
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