دورية أكاديمية
Patient and Clinician Perspectives on Electronic Patient-Reported Outcome Measures in the Management of Advanced CKD: A Qualitative Study.
| العنوان: | Patient and Clinician Perspectives on Electronic Patient-Reported Outcome Measures in the Management of Advanced CKD: A Qualitative Study. |
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| المؤلفون: | Aiyegbusi, Olalekan Lee, Kyte, Derek, Cockwell, Paul, Marshall, Tom, Dutton, Mary, Walmsley-Allen, Natalie, Slade, Anita, McMullan, Christel, Calvert, Melanie |
| بيانات النشر: | Elsevier |
| سنة النشر: | 2019 |
| المجموعة: | Heart of England: HEFT Repository |
| مصطلحات موضوعية: | WJ Urogenital system. Urology |
| الوصف: | RATIONALE & OBJECTIVE Chronic kidney disease (CKD) can substantially affect patients' health-related quality of life. Electronic patient-reported outcome measures (ePROMs) may capture symptoms and health-related quality of life and assist in the management of CKD. This study explored patient and clinician views on the use of a renal ePROM system. STUDY DESIGN Qualitative study. SETTING & PARTICIPANTS 12 patients with stage 4 or 5 CKD (non-dialysis dependent); 22 clinicians (6 CKD community nurses, 1 clinical psychologist, 10 nephrologists, 3 specialist registrars, and 2 renal surgeons) in the United Kingdom. ANALYTICAL APPROACH Semi-structured interviews and focus group discussion during which patients received paper versions of the Kidney Disease Quality of Life-36 and the Integrated Patient Outcome Scale-Renal to exemplify the type of content that could be included in an ePROM. Thematic analysis of interview transcripts. RESULTS 4 themes were identified: (1) general opinions of PROMs, (2) potential benefits and applications of an ePROM system, (3) practical considerations for the implementation of ePROMs, and (4) concerns, barriers, and facilitators. Patients were willing to complete ePROMs on a regular basis as part of their care despite clinician concerns about patient burden. Patients assessed the questionnaires favorably. Clinicians suggested that the extent of adoption of renal ePROM systems in routine clinical settings should be based on evidence of significant impact on patient outcomes. Clinicians were concerned that an ePROM system may raise patient expectations to unrealistic levels and expose clinicians to the risk for litigation. Patients and clinicians identified potential benefits and highlighted issues and concerns that need to be addressed to ensure the successful implementation of the renal ePROM system. LIMITATIONS Transferability of the findings may be limited because only English-speaking participants were recruited to the study. CONCLUSIONS A renal ePROM system may play a ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | unknown |
| العلاقة: | Aiyegbusi, Olalekan Lee, Kyte, Derek, Cockwell, Paul, Marshall, Tom, Dutton, Mary, Walmsley-Allen, Natalie, Slade, Anita, McMullan, Christel and Calvert, Melanie (2019) Patient and Clinician Perspectives on Electronic Patient-Reported Outcome Measures in the Management of Advanced CKD: A Qualitative Study. American journal of kidney diseases : the official journal of the National Kidney Foundation. ISSN 1523-6838. This article is available to all UHB staff and students login using a UHB Athens Account. Register for Athens here - https://openathens.nice.org.ukTest/ |
| DOI: | 10.1053/j.ajkd.2019.02.011 |
| الإتاحة: | https://doi.org/10.1053/j.ajkd.2019.02.011Test http://www.repository.uhblibrary.co.uk/id/eprint/2063Test/ https://www.ajkd.org/article/S0272-6386Test(19)30613-4/fulltext |
| رقم الانضمام: | edsbas.ED8D0E62 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1053/j.ajkd.2019.02.011 |
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