Feasibility of PROMs in Primary Care
This NIHR-funded programme (2011-2016) is investigating the routine administration and feedback of PROMs in primary care, establishing clinical benefits and costs. We are currently engaged in a feasibility study to develop and test ways for the efficient collection and feedback of PROMs in general practice for people with multiple health conditions. In order to do this we will ask patients with different combinations of selected conditions (asthma, chronic obstructive pulmonary disease, diabetes, heart failure, depression, osteoarthritis of the hip and/or knee) to complete PROMs immediately ahead of existing annual reviews, so as to fit into existing delivery of care and minimise disruption to participating patients and practitioners.
Feedback is at the heart of the study:
a) PROMs results will be fed back in real time to inform the annual review, to both the patient and the practitioner conducting the review
b) We will also collect feedback from patients and practitioners about whether our method for collecting and feeding back PROMs is valuable and appropriate, and how it can be improved. This will provide us with important information, such as identifying barriers and facilitators, for understanding better ways to administer and feedback PROMs, ultimately informing a more patient-focused general practice.
Proposed future work will look at how we can use the results of the feasibility study to help develop a more effective model of incorporating patient-centred goals - as an alternative to the current primary care QOF-driven system - where multiple conditions can be addressed in a single review with patient-centred prioritisation driving care plans for the following year.