دورية أكاديمية
أعرض في EDS

Rationale for routine collection of patient reported outcomes during integrative medicine consultation visits.

التفاصيل البيبلوغرافية
العنوان: Rationale for routine collection of patient reported outcomes during integrative medicine consultation visits.
المؤلفون: Dusek JA; Integrative Health Research Center, Allina Health, Minneapolis, MN, United States. Electronic address: jeffery.dusek@gmail.com., JaKa M; Division of Applied Research, Allina Health, Minneapolis, MN, United States., Wallerius S; Integrative Health Research Center, Allina Health, Minneapolis, MN, United States., Fairchild S; Strategic Project Management Office, Allina Health, Minneapolis, MN, United States., Victorson D; Department of Medical Social Sciences, Northwestern University, Chicago, IL, United States., Rivard RL; Integrative Health Research Center, Allina Health, Minneapolis, MN, United States., Betzner A; Division of Applied Research, Allina Health, Minneapolis, MN, United States.
المصدر: Complementary therapies in medicine [Complement Ther Med] 2018 Apr; Vol. 37, pp. 43-49. Date of Electronic Publication: 2018 Jan 31.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: Scotland NLM ID: 9308777 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-6963 (Electronic) Linking ISSN: 09652299 NLM ISO Abbreviation: Complement Ther Med Subsets: MEDLINE
أسماء مطبوعة: Publication: Edinburgh : Elsevier
Original Publication: Edinburgh ; New York : Churchill Livingstone, c1993-
مواضيع طبية MeSH: Complementary Therapies* , Integrative Medicine* , Patient Reported Outcome Measures* , Surveys and Questionnaires*, Adult ; Aged ; Data Collection ; Female ; Health Status ; Humans ; Male ; Middle Aged ; Quality of Life
مستخلص: Objectives: Integrative medicine (IM) is whole-person care utilizing complementary health approaches to address numerous physical or emotional influences that can impact an individual's health. Patient-reported outcomes (PRO) are subjective measures that quantify patients' perception of their quality of life. While PRO measures have been routinely assessed in specific oncology clinics, our objective was to assess the ability and utility of routine collection of PRO measures in an IM clinic.
Design/setting/main Outcome: Patients receiving a clinical consultation in an ambulatory IM clinic completed the PROMIS Global Health Form in the clinic waiting room.
Results: From November 2013 through October 2016, the PROMIS Global Health Form (PROMIS-10) was administered during 59% of IM provider consultation visits (7172/12,207), representing 3473 unique patients. Most patients were female (81%), White (93%), middle-aged (49.2; SD 15.4) and had commercial health insurance (66%). Baseline Mental (44.9; SD 9.1) and Physical Health (44.2; SD 8.6) scores were roughly 0.5 standard deviation below the national mean values (50; SD 10). Factors such as age, race and non-commercial insurance were associated with lower PROMIS-10 scores. Patients completing at least two PROMIS-10 questionnaires (n = 1541) exhibited increases of 2.3% and 2.8% from first to last PROMIS-10 assessment in Mental and Physical Heath scores respectively.
Conclusions: It is possible to routinely collect PRO measures in large IM clinic and longitudinal improvements in Mental and Physical Health scores were observed. Future research should focus on understanding how providers can utilize PRO results in real-time to improve patients' clinical outcomes and potentially decrease healthcare utilization.
(Copyright © 2018 Elsevier Ltd. All rights reserved.)
فهرسة مساهمة: Keywords: Complementary and alternative medicine; Integrative medicine; PROMIS global health; Patient-reported outcomes; Quality of life
تواريخ الأحداث: Date Created: 20180404 Date Completed: 20180910 Latest Revision: 20180910
رمز التحديث: 20240829
DOI: 10.1016/j.ctim.2018.01.012
PMID: 29609936
قاعدة البيانات: MEDLINE
الوصف
تدمد:1873-6963
DOI:10.1016/j.ctim.2018.01.012