Table 3 Survey questions about how PROMs could ideally be used in primary care (n = 100)
Question | Multiple choice answer | Number |
|---|---|---|
Where do you think PROMs could provide the most benefit?a | To aid clinical management | 66 |
As a screening/diagnostic tool | 62 | |
Facilitate shared-decision making | 60 | |
Facilitate communication with patients | 43 | |
To support personalised care planning and self-management | 39 | |
For chronic disease monitoring | 34 | |
To improve efficiency of consultation | 31 | |
Monitor performance | 31 | |
Facilitate communication across different healthcare sectors | 22 | |
Facilitate communication between patients and family members/ carers | 17 | |
For triage | 16 | |
Research | 16 | |
To monitor safety/ adverse events | 15 | |
Reward performance | 7 | |
None – I don’t think PROMs provide a benefit | 5 | |
How would you prefer to access PROMs?a | Embedded within clinical templates | 65 |
Through clinical systems | 63 | |
Online | 27 | |
Paper | 16 | |
Other | 1 | |
NA – I don’t want to access PROMs | 4 | |
When do you think patients would prefer to complete PROMs? | During the consultation: face-to-face | 34 |
Prior to consultation: at home at the request of a healthcare professional | 25 | |
Prior to consultation: in the waiting room | 20 | |
Prior to consultation: at home, instigated by the patient | 11 | |
During the consultation: telephone | 1 | |
Other | 5 | |
NA – I don’t think my patients will complete PROMs | 4 | |
What would the best format be for patients to complete PROMs? | Paper | 43 |
Online | 21 | |
Interview: in person (doctor) | 16 | |
Through an app | 8 | |
Interview: in person (nurse) | 3 | |
Interview: over the phone (doctor) | 1 | |
Interview: over the phone (nurse) | 1 | |
Other | 4 | |
N/A – I don’t think my patients should complete PROMs | 3 | |
Who do you think should ideally review the results of PROMs? | Doctors | 78 |
Nurses | 7 | |
Other (please specify) | 15 | |
How frequently do you think PROMs should be used for chronic disease monitoring? | Annually | 36 |
As prescribed | 27 | |
Monthly | 13 | |
Whenever the patient choses | 9 | |
Prior to every consultation | 8 | |
I don’t think there is a role for PROMs in chronic disease monitoring | 7 | |
What format for recording results would you prefer for PROMs? | Electronic (as part of the electronic health record) | 78 |
Paper | 11 | |
Electronic (patient portal) | 10 | |
Telephone | 1 | |
Do you think development of PROM systems should be: | Designed to meet clinician/patient needs (Bottom up approach) | 68 |
Try to meet both objectives | 29 | |
Designed primarily for audit, benchmarking or commissioning (Top down approach) | 3 | |
Which of your patients do you think would benefit the most from completing PROMs?b | Mental health patients | 20 |
All / most patients | 15 | |
Patients with chronic conditions | 14 | |
Unsure | 8 | |
Patients interested in PROMs | 8 | |
None/very few patients | 6 | |
Patients who struggle to communicate/articulate symptoms | 6 | |
Younger patients | 4 | |
Educated/literate patients | 3 | |
Cognitive impairment patients | 2 | |
Other | 35 | |
Is there anything that facilitates/supports the use of PROMs in primary care?b | Integrated clinical systems | 29 |
More Time | 12 | |
Easy access | 12 | |
Unsure | 9 | |
Ease of use | 9 | |
Training, knowledge, experience | 7 | |
None | 21 | |
Other | 22 |