Use of PROs in Primary Care: PROMIS or Disappointment?

Use of PROs in Primary Care: PROMIS or Disappointment? Elizabeth R. Pfoh, PhD, MPH and Michael B. Rothberg, MD, MPH Center for Value-Based Care Research, Cleveland Clinic, Cleveland, OH, USA. J Gen Intern Med difficult to treat. While interviewing the clinicians could an- DOI: 10.1007/s11606-018-4511-x swer these questions definitively, some insight can be gleaned © Society of General Internal Medicine 2018 from the clinicians’ actions and interviews with the patients. The first explanation seems unlikely because according to the patients, the vast majority of threshold symptoms were discussed. Patients also reported that clinicians often priori- tized other diseases. In fact, the most common reason for not n 2004, the National Institutes of Health (NIH) launched its discussing the SPADE symptom was a more pressing medical Roadmap as a way to transform healthcare research by issue (49%). Finally, many patients reported not needing making it more efficient. PROMIS (the Patient-Reported (47%) or wanting (29%) treatment. Yet, treatment was desired Outcomes Measurement System) was developed as part of the majority of the time when symptoms were threshold level the Roadmap to fill the need for an evidenced-based, state- for pain, sleep, and fatigue. Perhaps the most likely reason that presenting the informa- of-the-art assessment system for measuring self-reported health. PROMIS http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of General Internal Medicine Springer Journals

Use of PROs in Primary Care: PROMIS or Disappointment?

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Publisher
Springer US
Copyright
Copyright © 2018 by Society of General Internal Medicine
Subject
Medicine & Public Health; Internal Medicine
ISSN
0884-8734
eISSN
1525-1497
D.O.I.
10.1007/s11606-018-4511-x
Publisher site
See Article on Publisher Site

Abstract

Elizabeth R. Pfoh, PhD, MPH and Michael B. Rothberg, MD, MPH Center for Value-Based Care Research, Cleveland Clinic, Cleveland, OH, USA. J Gen Intern Med difficult to treat. While interviewing the clinicians could an- DOI: 10.1007/s11606-018-4511-x swer these questions definitively, some insight can be gleaned © Society of General Internal Medicine 2018 from the clinicians’ actions and interviews with the patients. The first explanation seems unlikely because according to the patients, the vast majority of threshold symptoms were discussed. Patients also reported that clinicians often priori- tized other diseases. In fact, the most common reason for not n 2004, the National Institutes of Health (NIH) launched its discussing the SPADE symptom was a more pressing medical Roadmap as a way to transform healthcare research by issue (49%). Finally, many patients reported not needing making it more efficient. PROMIS (the Patient-Reported (47%) or wanting (29%) treatment. Yet, treatment was desired Outcomes Measurement System) was developed as part of the majority of the time when symptoms were threshold level the Roadmap to fill the need for an evidenced-based, state- for pain, sleep, and fatigue. Perhaps the most likely reason that presenting the informa- of-the-art assessment system for measuring self-reported health. PROMIS

Journal

Journal of General Internal MedicineSpringer Journals

Published: Jun 5, 2018

References

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