Which Factors Influence the Use of Patient-Reported Outcome Measures in Dutch Physiotherapy Practice? A Cross-Sectional Study

Overview

Journal Physiother Can

Specialty Rehabilitation Medicine

Date 2021 Aug 13

PMID 34385750

Citations 5

Authors

Guus A Meerhoff

Simone A Van Dulmen

Juliette K Cruijsberg

Maria W G Nijhuis-van Der Sanden

Philip J van der Wees

Affiliations

Soon will be listed here.

Abstract

Patient-reported outcome measures (PROMs) have the potential to enhance the quality of health care but, as a result of suboptimal implementation, it is unclear whether they fulfil this role in physiotherapy practice. This cross-sectional study aimed to identify the factors influencing PROM use in Dutch private physiotherapy practices. A total of 444 physiotherapists completed a self-assessment questionnaire and uploaded the data from their electronic health record (EHR) systems to the national registry of outcome data. Univariate and multivariate ordinal logistic and linear regression analysis were used to identify the factors associated with self-reported PROM use and PROM use registered in the EHR systems, which were derived from the self-assessment questionnaire and from the data in the national registry, respectively. Five categories with nine independent variables were selected as potential factors for regression analysis. The similarity between self-reported and registered PROM use was verified. On the basis of self-report and EHR report, we found that 21.6% and 29.8% of participants, respectively, used PROMs with more than 80% of their patients, and we identified the factors associated with PROM use. The factors associated with PROM use are EHR systems that support PROM use and more knowledge about PROM use. These findings can guide future strategies to enhance the use of PROMs in physiotherapy practice.

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References

Fleuren M, Wiefferink K, Paulussen T . Determinants of innovation within health care organizations: literature review and Delphi study. Int J Qual Health Care. 2004; 16(2):107-23. DOI: 10.1093/intqhc/mzh030. View

Irizarry T, DeVito Dabbs A, Curran C . Patient Portals and Patient Engagement: A State of the Science Review. J Med Internet Res. 2015; 17(6):e148. PMC: 4526960. DOI: 10.2196/jmir.4255. View

Stevens J, Beurskens A . Implementation of measurement instruments in physical therapist practice: development of a tailored strategy. Phys Ther. 2010; 90(6):953-61. DOI: 10.2522/ptj.20090105. View

Schamber E, Takemoto S, Eresian Chenok K, Bozic K . Barriers to completion of Patient Reported Outcome Measures. J Arthroplasty. 2013; 28(9):1449-53. DOI: 10.1016/j.arth.2013.06.025. View

Rutten G, Kremers S, Rutten S, Harting J . A theory-based cross-sectional survey demonstrated the important role of awareness in guideline implementation. J Clin Epidemiol. 2008; 62(2):167-176.e1. DOI: 10.1016/j.jclinepi.2008.04.004. View

OBeirne M, Zwicker K, Sterling P, Lait J, Robertson H, Oelke N . The status of accreditation in primary care. Qual Prim Care. 2013; 21(1):23-31. View

Tannenbaum C, Greaves L, Graham I . Why sex and gender matter in implementation research. BMC Med Res Methodol. 2016; 16(1):145. PMC: 5084413. DOI: 10.1186/s12874-016-0247-7. View

Greenhalgh J . The applications of PROs in clinical practice: what are they, do they work, and why?. Qual Life Res. 2008; 18(1):115-23. DOI: 10.1007/s11136-008-9430-6. View

van Peppen R, Maissan F, van Genderen F, van Dolder R, van Meeteren N . Outcome measures in physiotherapy management of patients with stroke: a survey into self-reported use, and barriers to and facilitators for use. Physiother Res Int. 2008; 13(4):255-70. DOI: 10.1002/pri.417. View

10.

van Achterberg T, Schoonhoven L, Grol R . Nursing implementation science: how evidence-based nursing requires evidence-based implementation. J Nurs Scholarsh. 2008; 40(4):302-10. DOI: 10.1111/j.1547-5069.2008.00243.x. View

11.

Higginson I, Carr A . Measuring quality of life: Using quality of life measures in the clinical setting. BMJ. 2001; 322(7297):1297-300. PMC: 1120388. DOI: 10.1136/bmj.322.7297.1297. View

12.

McHorney C . The potential clinical value of quality-of-life information response to Martin. Med Care. 2002; 40(6 Suppl):III56-62. DOI: 10.1097/00005650-200206001-00009. View

13.

Heidari S, Babor T, De Castro P, Tort S, Curno M . Sex and Gender Equity in Research: rationale for the SAGER guidelines and recommended use. Res Integr Peer Rev. 2018; 1:2. PMC: 5793986. DOI: 10.1186/s41073-016-0007-6. View

14.

Swinkels R, Meerhoff G, Custers J, van Peppen R, Beurskens A, Wittink H . Using Outcome Measures in Daily Practice: Development and Evaluation of an Implementation Strategy for Physiotherapists in the Netherlands. Physiother Can. 2016; 67(4):357-64. PMC: 4962649. DOI: 10.3138/ptc.2014-28. View

15.

Reuben D, Tinetti M . Goal-oriented patient care--an alternative health outcomes paradigm. N Engl J Med. 2012; 366(9):777-9. DOI: 10.1056/NEJMp1113631. View

16.

Sorondo B, Allen A, Bayleran J, Doore S, Fathima S, Sabbagh I . Using a Patient Portal to Transmit Patient Reported Health Information into the Electronic Record: Workflow Implications and User Experience. EGEMS (Wash DC). 2016; 4(3):1237. PMC: 5019305. DOI: 10.13063/2327-9214.1237. View

17.

Gilbody S, Whitty P, Grimshaw J, Thomas R . Improving the detection and management of depression in primary care. Qual Saf Health Care. 2003; 12(2):149-55. PMC: 1743696. DOI: 10.1136/qhc.12.2.149. View

18.

Wilcox N, McNeil J . Clinical quality registries have the potential to drive improvements in the appropriateness of care. Med J Aust. 2016; 205(10):S27-S29. DOI: 10.5694/mja15.00921. View

19.

Scott S, Plotnikoff R, Karunamuni N, Bize R, Rodgers W . Factors influencing the adoption of an innovation: an examination of the uptake of the Canadian Heart Health Kit (HHK). Implement Sci. 2008; 3:41. PMC: 2567341. DOI: 10.1186/1748-5908-3-41. View

20.

Swinkels R, van Peppen R, Wittink H, Custers J, Beurskens A . Current use and barriers and facilitators for implementation of standardised measures in physical therapy in the Netherlands. BMC Musculoskelet Disord. 2011; 12:106. PMC: 3126762. DOI: 10.1186/1471-2474-12-106. View