Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Nov;37(15):3885-3892.
doi: 10.1007/s11606-022-07631-0. Epub 2022 Apr 28.

Adoption of Patient-Reported Outcomes by Health Systems and Physician Practices in the USA

Hector P Rodriguez  1 , Martin J Kyalwazi  2 , Valerie A Lewis  3 , Karl Rubio  2 , Stephen M Shortell  2
Affiliations

Adoption of Patient-Reported Outcomes by Health Systems and Physician Practices in the USA

Hector P Rodriguez et al. J Gen Intern Med. 2022 Nov.

Abstract

Background: Patient-reported outcome measures (PROs) can help clinicians adjust treatments and deliver patient-centered care, but organizational adoption of PROs remains low.

Objective: This study examines the extent of PRO adoption among health systems and physician practices nationally and examines the organizational capabilities associated with more extensive PRO adoption.

Design: Two nationally representative surveys were analyzed in parallel to assess health system and physician practice capabilities associated with adoption of PROs of disability, pain, and depression.

Participants: A total of 323 US health system and 2,190 physician practice respondents METHODS: Multivariable regression models separately estimated the association of health system and physician practice capabilities associated with system-level and practice-level adoption of PROs.

Main measures: Health system and physician practice adoption of PROs for depression, pain, and disability.

Key results: Pain (50.6%) and depression (43.8%) PROs were more commonly adopted by all hospitals and medical groups within health systems compared to disability PROs (26.5%). In adjusted analyses, systems with more advanced health IT functions were more likely to use disability (p<0.05) and depression (p<0.01) PROs than systems with less advanced health IT. Practice-level advanced health IT was positively associated with use of depression PRO (p<0.05), but not disability or pain PRO use. Practices with more chronic care management processes, broader medical and social risk screening, and more processes to support patient responsiveness were more likely to adopt each of the three PROs. Compared to independent physician practices, system-owned practices and community health centers were less likely to adopt PROs.

Conclusions: Chronic care management programs, routine screening, and patient-centered care initiatives can enable PRO adoption at the practice level. Developing these practice-level capabilities may improve PRO adoption more than solely expanding health IT functions.

Keywords: care management; health information technology; health systems; patient-reported outcomes.

PubMed Disclaimer

Conflict of interest statement

The authors have no conflicts of interest to report.

Similar articles

See all similar articles

References

    1. Zhang R, Burgess ER, Reddy MC, et al. Provider perspectives on the integration of patient-reported outcomes in an electronic health record. JAMIA Open. 2019;2(1):73–80. doi: 10.1093/jamiaopen/ooz001. - DOI - PMC - PubMed
    1. Harle CA, Listhaus A, Covarrubias CM, et al. Overcoming barriers to implementing patient-reported outcomes in an electronic health record: a case report. J Am Med Inform Assoc. 2016;23(1):74–79. doi: 10.1093/jamia/ocv085. - DOI - PMC - PubMed
    1. Gibbons C, Porter I, Gonçalves-Bradley DC, et al. Routine provision of feedback from patient-reported outcome measurements to healthcare providers and patients in clinical practice. Cochrane Effective Practice and Organisation of Care Group, ed. Cochrane Database of Systematic Reviews. 2021;2021(10). 10.1002/14651858.CD011589.pub2 - PMC - PubMed
    1. Kroenke K, Talib TL, Stump TE, et al. Incorporating PROMIS symptom measures into primary care practice-a randomized clinical trial. J Gen Intern Med. 2018;33(8):1245–1252. doi: 10.1007/s11606-018-4391-0. - DOI - PMC - PubMed
    1. Harle CA, Marlow NM, Schmidt SOF, et al. The effect of EHR-integrated patient-reported outcomes on satisfaction with chronic pain care. Am J Manag Care. 2016;22(12):e403–e408. - PMC - PubMed

Publication types

LinkOut - more resources