{Reference Type}: Journal Article
{Title}: Patient-reported outcome measures in value-based healthcare: A multiple methods study to assess patient-centredness.
{Author}: Kidanemariam M;Neve OM;van den Heuvel I;Douz S;Hensen EF;Stiggelbout AM;Pieterse AH;
{Journal}: Patient Educ Couns
{Volume}: 125
{Issue}: 0
{Year}: 2024 Aug 7
{Factor}: 3.467
{DOI}: 10.1016/j.pec.2024.108243
{Abstract}: <B>OBJECTIVE: </B>Value-based healthcare (VBHC) involves the use of standardised outcome measures, including patient-reported outcome measures (PROMs). This study aimed to assess to what extent discussion of PROMs is associated with patient- and person-centredness.<BR><B>METHODS: </B>This study used a separate sample pre-/post-test design and multiple methods (observations, questionnaires, and interviews) in a VBHC care pathway for patients with a vestibular schwannoma, to assess to what extent the implementation of PROMs is associated with a difference in patient- and person-centredness.<BR><B>RESULTS: </B>A total of 139 patients with a vestibular schwannoma and their four treating physicians were included in the study. No significant differences were found in observed patient-centredness (Mpre=6.71 ± 2.42 vs. Mpost=6.93 ± 2.01; P = 0.60) or patient-reported patient-centredness (Mpre=1.73 vs. Mpost=1.68; P = 0.63) and person-centredness after PROM implementation (Mpre=11.81 vs. Mpost=13.42; P = 0.34). We observed more discussion of patient-reported outcomes. However, a majority of patients did not expect PRO discussion in consultations.<BR><B>CONCLUSIONS: </B>The implementation of standardised PROMs in a VBHC care pathway was associated with more discussion on patient-reported outcomes in clinical consultations. Overall, the implementation of PROMs was not observed or perceived as leading to more patient-centred consultations.<BR><B>CONCLUSIONS: </B>Physicians should assess whether the discussion of PROMs add value collaboratively with patients.