The effectiveness of using patient-reported outcome measures as quality improvement tools

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dc.check.embargoformatNot applicableen
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dc.contributor.advisorBrowne, John P.en
dc.contributor.authorBoyce, Maria B.en
dc.contributor.funderHealth Research Boarden
dc.date.accessioned2015-11-05T13:04:11Z
dc.date.available2015-11-05T13:04:11Z
dc.date.issued2014
dc.date.submitted2014
dc.description.abstractAim: To investigate the value of using PROMs as quality improvement tools. Methods: Two systematic reviews were undertaken. The first reviewed the quantitative literature on the impact of PROMs feedback and the second reviewed the qualitative literature on the use of PROMs in practice. These reviews informed the focus of the primary research. A cluster randomised controlled trial (PROFILE) examined the impact of providing peer benchmarked PROMs feedback to consultant orthopaedic surgeons on improving outcomes for hip replacement surgery. Qualitative interviews with surgeons in the intervention arm of the trial examined the view of and reactions to the feedback. Results: The quantitative review of 17 studies found weak evidence to suggest that providing PROMs feedback to professionals improves patient outcomes. The qualitative review of 16 studies identified the barriers and facilitators to the use of PROMs based on four themes: practical considerations, attitudes towards the data, methodological concerns and the impact of feedback on care. The PROFILE trial included 11 surgeons and 215 patients in the intervention arm, and 10 surgeons and 217 patients in the control arm. The trial found no significant difference in the Oxford Hip Score between the arms (-0.7, 95% CI -1.9-0.5, p=0.2). Interviews with surgeons revealed mixed opinions about the value of the PROMs feedback and the information did not promote explicit changes to their practice. Conclusion: It is important to use PROMs which have been validated for the specific purpose of performance measurement, consult with professionals when developing a PROMs feedback intervention, communicate with professionals about the objectives of the data collection, educate professionals on the properties and interpretation of the data, and support professionals in using the information to improve care. It is also imperative that the burden of data collection and dissemination of the information is minimised.en
dc.description.sponsorshipHealth Research Board (HRB Grant PHD/2007/16)en
dc.description.statusNot peer revieweden
dc.description.versionAccepted Version
dc.format.mimetypeapplication/pdfen
dc.identifier.citationBoyce, M. 2014. The effectiveness of using patient-reported outcome measures as quality improvement tools. PhD Thesis, University College Cork.en
dc.identifier.endpage275
dc.identifier.urihttps://hdl.handle.net/10468/2038
dc.language.isoenen
dc.publisherUniversity College Corken
dc.rights© 2014, Maria Boyce.en
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/en
dc.subjectOutcome assessmenten
dc.subjectQuality improvementen
dc.subjectPatient-reported outcome measuresen
dc.subjectBehavioural changeen
dc.subjectHealth services researchen
dc.thesis.opt-outfalse
dc.titleThe effectiveness of using patient-reported outcome measures as quality improvement toolsen
dc.typeDoctoral thesisen
dc.type.qualificationlevelDoctoral Degree (Structured)en
dc.type.qualificationnamePhD (Health Services Research)en
ucc.workflow.supervisorj.browne@ucc.ie
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