Table 2 Survey questions about GPs current use of PROMs (n = 100)
Question | Multiple choice answer | Number |
|---|---|---|
What do you currently use PROMs for?a | To aid clinical management | 66 |
As a screening/diagnostic tool | 61 | |
Facilitate shared-decision making | 48 | |
To improve efficiency of consultation | 45 | |
Facilitate communication with patients | 42 | |
For Chronic disease monitoring | 38 | |
To support personalised care planning and self-management | 31 | |
Facilitate communication across different healthcare sector | 28 | |
Monitor performance | 25 | |
For triage | 14 | |
To monitor safety/adverse events | 12 | |
Facilitate communication between patients and family members/ carers | 11 | |
Reward performance | 10 | |
Research | 5 | |
Other | 2 | |
None – I don’t currently use PROMs | 19 | |
How do you access PROMs?a | Through clinical systems | 56 |
Embedded within clinical templates | 49 | |
Online | 47 | |
Paper | 29 | |
Other | 3 | |
N/A – I don’t access PROMs | 11 | |
When do your patients complete PROMs?a | During the consultation: face-to-face | 72 |
Prior to consultation: at home at the request of a healthcare professional | 22 | |
Prior to consultation: in the waiting room | 12 | |
During the consultation: telephone | 9 | |
Prior to consultation: at home, instigated by the patient | 2 | |
Other | 20 | |
N/A – my patients don’t currently complete PROMs | 17 | |
How do your patients complete PROMs?a | Paper | 68 |
Interview: in person (doctor) | 51 | |
Interview: in person (nurse) | 18 | |
Interview: over the phone (doctor) | 13 | |
Interview: over the phone (nurse) | 6 | |
Online | 5 | |
Completed by a proxy on behalf of patients | 5 | |
Through an app | 3 | |
N/A – my patients don’t currently complete PROMs | 15 | |
Who reviews the results of PROMs?a | Doctor | 84 |
Nurse | 17 | |
Other | 3 | |
N/A – my patients don’t currently complete PROMs | 15 | |
What do you think are the main barriers to use of PROMs?b | Time constraints | 77 |
Mandated to complete | 55 | |
Sufficient understanding without PROMS | 32 | |
Patients dislike questionnaires | 31 | |
Uncertainty about reliability | 27 | |
Perceived as cost-cutting | 21 | |
Constrain doctor-patient relationship | 18 | |
Lack of integration into clinical systems | 13 | |
Feels uncomfortable | 11 | |
Number of measures | 10 | |
Lack of confidence in interpreting | 8 | |
Other | 4 | |
None | 1 | |
How do you think your patients feel about completing PROMs?c | Negative (e.g. chore, tick box, not interested) | 22 |
Positive (e.g. happy to complete, time saving, longitudinal outcomes) | 47 | |
Neutral | 31 |