Effect of patient-initiated versus fixed-interval telePRO-based outpatient follow-up: study protocol for a pragmatic randomised controlled study

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• 作者：Liv Marit Valen Schougaard ; Caroline Trillingsgaard Mejdahl…
• 关键词：Patient ; reported outcomes ; TelePRO ; Clinical practice ; Outpatient clinic ; Outpatient follow ; up ; Open access ; Randomised controlled trial
• 刊名：BMC Health Services Research
• 出版年：2017
• 出版时间：December 2017
• 年：2017
• 卷：17
• 期：1
• 全文大小：1176KB
• 刊物主题：Public Health; Health Administration; Health Informatics; Nursing Research;
• 出版者：BioMed Central
• ISSN：1472-6963
• 卷排序：17

文摘

BackgroundThe traditional system of routine outpatient follow-up of chronic disease in secondary care may involve a waste of resources if patients are well. The use of patient-reported outcomes (PRO) could support more flexible, cost-saving follow-up activities. AmbuFlex is a PRO system used in outpatient follow-up in the Central Denmark Region. PRO questionnaires are sent to patients at fixed intervals. The clinicians use the PRO data to decide whether a patient needs a visit or not (standard telePRO). PRO may make patients become more involved in their own care pathway, which may improve their self-management. Better self-management may also be achieved by letting patients initiate contact. The aim of this study is to obtain data on the effects of patient-initiated follow-up (open access telePRO) on resource utilisation, quality of care, and the patient perspective.