Document Detail


Patient reported outcome measures (PROMs) in primary care: an observational pilot study of seven generic instruments.
MedLine Citation:
PMID:  24884544     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: Patient reported outcome measures (PROMs) have been introduced in studies to assess healthcare performance. The development of PROMs for primary care poses specific challenges, including a preference for generic measures that can be used across diseases, including early phases or mild conditions. This pilot study aimed to explore the potential usefulness of seven generic measures for assessing health outcomes in primary care patients.
METHODS: A total of 300 patients in three general practices were invited to participate in the study, shortly after their visit to the general practitioner. Patients received a written questionnaire, containing seven validated instruments, focused on patient empowerment (PAM-13 or EC-17), quality of life (EQ-5D or SF-12), mental health (GHQ-12), enablement (PEI) and perceived treatment effect (GPE). Furthermore, questions on non-specific symptoms and number of GP contacts were included. After 4 weeks patients received a second, identical, questionnaire. Response and missing items, total scores and dispersion, responsiveness, and associations between instruments and other measures were examined.
RESULTS: A total of 124 patients completed the questionnaire at baseline, of whom 98 completed it both at baseline and 4 weeks later (response rate: 32,7%). The instruments had a full completion rate of 80% or higher. Differences between baseline and follow up were significant for the EQ-5D (p = 0.026), SF-12 PCS (p = 0.026) and the GPE (p = 0.006). A strong correlation (r >= 0.6) was found between the SF-12 MCS and GHQ-12, at both baseline measurement and after four weeks. Other observed associations between instruments were moderately strong. No strong correlations were found between instruments and non-specific symptoms or number of GP contacts.
CONCLUSIONS: The present study is among the first to explore the use of generic patient-reported outcome measures in primary care. It provides several leads for developing a generic PROM questionnaire in primary care as well as for potential limitations of such instruments.
Authors:
Jan-Willem Weenink; Jozé Braspenning; Michel Wensing
Related Documents :
11106984 - Dimensional measurement and finite element analysis of i-bar clasps in clinical use.
24926714 - The burden of overweight and obesity on long-term care and medicaid financing.
17411454 - Acute compartment syndrome of the hand in henoch-schonlein purpura.
15346004 - Congenital trismus secondary to masseteric fibrous bands: a 7-year follow-up report as ...
21999394 - Predictors of antibiotic use in african communities: evidence from medicines household ...
18516704 - Stem cells: implications in experimental ischaemic stroke therapy.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-5-6
Journal Detail:
Title:  BMC family practice     Volume:  15     ISSN:  1471-2296     ISO Abbreviation:  BMC Fam Pract     Publication Date:  2014 May 
Date Detail:
Created Date:  2014-6-2     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100967792     Medline TA:  BMC Fam Pract     Country:  -    
Other Details:
Languages:  ENG     Pagination:  88     Citation Subset:  -    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Is a single item stress measure independently associated with subsequent severe injury: a prospectiv...
Next Document:  Speeding in School Zones: Violation or Lapse in Prospective Memory?