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Abstract：
Background and objective Implementing electronic patient-reported outcomes (ePROs) in oncology practice has shown substantial clinical benefits. However, it can be challenging in routine practice, warranting strategies to adapt to different clinical contexts. In light of this, this study aimed to describe the implementation process of the ePRO system and elucidate the provider-level implementation barriers and facilitators to a novel ePRO system at cancer hospitals in Japan. Methods We implemented an ePRO system linked to electronic medical records at three cancer hospitals. Fifteen patients with solid cancers at the outpatient oncology unit were asked to regularly complete the Patient-Reported Outcomes version of the Common Terminology Criteria for Adverse Events (PRO-CTCAE™) questionnaire and European Organization for Research and Treatment Core Quality of Life questionnaire (EORTC QLQ C30) by using the smartphone app between October 2021 and June 2022. Thirteen healthcare professionals were interviewed to identify implementation barriers and facilitators to the ePRO system by using the Consolidated Framework for Implementation Research framework. Results The healthcare professionals identified a lack of clinical resources and a culture and system that emphasizes treatment over care as the main barriers; however, the accumulation of successful cases, the leadership of managers, and the growing needs of patients can serve as facilitators to the implementation. Conclusions Our experience implementing an ePRO system in a few Japanese oncology practices revealed comprehensive barriers and facilitators. Further efforts are warranted to develop more successful implementation strategies.
摘要：
背景和目的在肿瘤学实践中实施电子患者报告结果（ePR0s）已显示出实质性的临床益处。然而,在常规练习中可能会很有挑战性，保证适应不同临床环境的策略。鉴于此,本研究旨在描述ePRO系统的实施过程,并阐明日本癌症医院新型ePRO系统的提供者级实施障碍和促进因素.方法我们在三家癌症医院实施了与电子病历链接的ePRO系统。在2021年10月至2022年6月期间，要求门诊肿瘤科的15名实体癌患者定期填写患者报告的不良事件通用术语标准（PRO-CTCAE™）问卷和欧洲研究与治疗组织核心生活质量问卷（EORTCQLQC30）。通过使用实施研究框架综合框架，采访了13名医疗保健专业人员，以确定ePRO系统的实施障碍和促进者。结果医疗保健专业人员发现缺乏临床资源以及强调治疗而不是护理的文化和制度是主要障碍；然而，成功案例的积累，管理者的领导，患者日益增长的需求可以作为实施的促进者。结论我们在一些日本肿瘤学实践中实施ePRO系统的经验揭示了全面的障碍和促进因素。有必要进一步努力制定更成功的执行战略。
