Electronic Collection of Patient-Reported Outcomes to Improve Kidney Care: Benefits, Drawbacks, and Next Steps

IF 2.8 3区 医学 Q2 UROLOGY & NEPHROLOGY Seminars in nephrology Pub Date : 2024-05-01 DOI:10.1016/j.semnephrol.2024.151552
Sabine N. van der Veer PhD , Nicola E. Anderson PhD , Rob Finnigan MSc , Derek Kyte PhD
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Abstract

Kidney services worldwide are increasingly using digital health technologies to deliver care. This includes kidney electronic patient-reported outcome (ePRO) systems: ambulatory digital technologies that enable the capture of PRO data electronically from people with kidney disease remotely and in real time to be shared with their kidney care team. Current kidney ePRO systems commonly aim to support the monitoring and management of symptoms in patients with kidney disease. The majority have thus far only been implemented in research settings and are not yet routinely used in clinical practice, leaving their readiness for real-world implementation largely unknown. Compared with paper-based PRO collection, ePRO systems have certain advantages, which we categorize as efficiency benefits (e.g., lower administrative burden), direct patient care benefits (e.g., automated PRO-based patient education), and health system and research benefits (e.g., collecting ePRO data once for multiple purposes). At the same time, kidney ePRO systems come with drawbacks, such as their potential to exacerbate existing inequities in care and outcomes and to negatively affect staff burden and patients’ experience of kidney care. Areas that hold promise for expediting the development and uptake of kidney ePRO systems at the local, organizational, and national level include harnessing national kidney registries as enabling infrastructures; using novel data-driven technologies (e.g., computerized adaptive test systems, configurable dashboards); applying implementation science and action research approaches to enhance translation of ePRO research findings into clinical practice; and engaging stakeholders, including patients and carers, health care professionals, policymakers, payers, ePRO experts, technology providers, and organizations that monitor and improve the quality of kidney services.
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电子收集患者报告结果以改善肾脏护理:益处、弊端和下一步措施。
全球肾脏服务机构正越来越多地使用数字医疗技术来提供医疗服务。其中包括肾脏电子患者报告结果(ePRO)系统:这是一种非住院的数字技术,能以电子方式远程实时采集肾病患者的PRO数据,并与肾脏护理团队共享。目前的肾病 ePRO 系统通常旨在支持对肾病患者症状的监测和管理。迄今为止,大多数系统仅在研究环境中实施,尚未在临床实践中常规使用,因此其是否能在现实世界中实施在很大程度上还是个未知数。与基于纸张的 PRO 收集相比,ePRO 系统具有一定的优势,我们将其归类为效率优势(如降低管理负担)、直接患者护理优势(如基于 PRO 的自动化患者教育)以及卫生系统和研究优势(如一次收集多种用途的 ePRO 数据)。与此同时,肾脏 ePRO 系统也存在一些缺点,例如可能会加剧现有的护理和治疗效果不平等现象,并对工作人员的负担和患者的肾脏护理体验产生负面影响。有希望在地方、组织和国家层面加快开发和采用肾脏 ePRO 系统的领域包括:利用国家肾脏登记处作为有利的基础设施;使用新颖的数据驱动技术(如计算机化自适应测试系统、可配置肾脏 ePRO 系统)、应用实施科学和行动研究方法,加强 ePRO 研究成果在临床实践中的转化;让利益相关者参与进来,包括患者和护理者、医疗保健专业人员、决策者、支付者、ePRO 专家、技术提供者以及监督和改善肾脏服务质量的组织。
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来源期刊
Seminars in nephrology
Seminars in nephrology 医学-泌尿学与肾脏学
CiteScore
5.60
自引率
0.00%
发文量
27
审稿时长
6-12 weeks
期刊介绍: Seminars in Nephrology is a timely source for the publication of new concepts and research findings relevant to the clinical practice of nephrology. Each issue is an organized compendium of practical information that serves as a lasting reference for nephrologists, internists and physicians in training.
期刊最新文献
Table of Contents Editorial Board Masthead Electronic Collection of Patient-Reported Outcomes to Improve Kidney Care: Benefits, Drawbacks, and Next Steps Patient-Reported Outcomes to Achieve Person-Centered Care for Aging People With Kidney Disease
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