ArticleBMC health services research2018
Exploring organisational mechanisms in PRO-based follow-up in routine outpatient care - an interpretive description of the clinician perspective.
Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed, 40 citations in OpenAlex.
- Healthcare Professionals' Experiences of Telemedicine Supporting Outpatient Endometriosis Care: A Qualitative Study of Tele-Patient-Reported Outcome Measures.International journal of environmental research and public health · 2026Article
- A generic and adaptable model of developing, implementing, and maintaining patient-reported outcomes in clinical practice - the AmbuFlex model.Journal of patient-reported outcomes · 2026Article
- Clinical follow-up using patient-reported outcome (PRO) for patients with lymphoma and chronic lymphocytic leukemia in a hematological outpatient clinic: a Danish prospective study.Scientific reports · 2026Article
- Information exchange or discussion? A qualitative study on cross-sectoral collaboration between social security service and healthcare service for patients with chronic fatigue.BMC health services research · 2025Article
- External Validation of the COMI-Hernia Score and Establishing Minimal Important Difference for Assessing Postoperative Quality of Life Following Inguinal Hernia Repair.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025Article
- Expert consensus on implementing patient-reported outcomes in telehealth: findings from an international Delphi study.Journal of patient-reported outcomes · 2025Article
- Determinants of Dropping Out of Remote Patient-Reported Outcome-Based Follow-Up Among Patients With Epilepsy: Prospective Cohort Study.JMIR formative research · 2025Article
- The Use of Patient-Reported Measures Collected Data in Primary Care: A Systematic Review.Patient related outcome measures · 2025Review
- Are all cancer survivors included when using electronically administered patient reported outcomes in primary healthcare cancer rehabilitation? A cross-sectional study.Journal of patient-reported outcomes · 2024Article
- Patient-reported outcome measures in diabetes outpatient care: a scoping review.BMJ open diabetes research & care · 2023Article
- Reducing the pressures of outpatient care: the potential role of patient-reported outcomes.Journal of the Royal Society of Medicine · 2023Review
- Adapting a Patient-Reported Outcome Measure to Digital Outpatient Specialist Health Care Services for Type 1 Diabetes: User Involvement Study.JMIR human factors · 2022Article
- Article
- Digital patient-reported outcomes in inflammatory bowel disease routine clinical practice: the clinician perspective.Journal of patient-reported outcomes · 2022Article
- Cancer follow-up supported by patient-reported outcomes in patients undergoing intended curative complex surgery for advanced cancer.Journal of patient-reported outcomes · 2021Article
- Achieving Resilience in Primary Care during the COVID-19 Pandemic: Competing Visions and Lessons from Alberta.Healthcare policy = Politiques de sante · 2021Article
- A "Shock Test" to Primary Care Integration: COVID-19 Lessons from Alberta.Healthcare policy = Politiques de sante · 2021Article
- Electronic reporting of patient-reported outcomes in a fragile and comorbid population during cancer therapy - a feasibility study.Health and quality of life outcomes · 2020Article
- Sociodemographic, personal, and disease-related determinants of referral to patient-reported outcome-based follow-up of remote outpatients: a prospective cohort study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2020Article
- Fifteen Years' Use of Patient-Reported Outcome Measures at the Group and Patient Levels: Trend Analysis.Journal of medical Internet research · 2019Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundPatient-reported outcome (PRO)-based follow-up is a new model of service delivery, where PRO measures are used as the very basis for demand-driven outpatient follow-up in patients with chronic diseases. Adopting the clinicians' perspective, we aimed to explore what happens when PRO-based follow-up is implemented in routine clinical practice. We also aimed to identify organisational mechanisms related to PRO-based follow-up.
methodsThe methodological approach of this interview study is interpretive description, informed by a perspective of critical realism. Semi-structured interviews were conducted with 13 clinicians (eight nurses and five physicians) working with PRO-based follow-up in outpatient care for epilepsy in the Central Denmark Region.
resultsPRO-based follow-up gave rise to ambivalence in clinicians. Seen from the clinicians' perspective, PRO-based follow-up could both increase and decrease the quality of follow-up. Moreover, PRO-based follow-up both enhanced and impaired clinicians' work experiences. Additionally, the clinicians used strategies to ease some of the perceived disadvantages. The clinicians did extra tasks and worked around the scope of PRO-based follow-up. Thus, clinicians constituted a professional buffer as they deflected some of the negative mechanisms associated with PRO-based follow-up.
conclusionsAs a model of a service delivery, PRO-based follow-up is highly dependent on the clinicians' day-to-day management of the system, and mechanisms related to routine use of PRO measures in outpatient follow-up are complex. Paying attention to the organisational settings is critical for PRO-based follow-up to improve quality of care and enhance patient-centred care.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.