Endocrinologists’ use of patient-reported outcome measures in the care of people with diabetes: A qualitative study

IF 1 Q4 ENDOCRINOLOGY & METABOLISM Diabetes epidemiology and management Pub Date : 2023-10-01 DOI:10.1016/j.deman.2023.100159

B.K. Nielsen , M.D. Terkildsen , A.L. Jensen , M.Z. Pedersen , M.R. Hollesen , K. Lomborg

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Abstract

Aims

DiabetesFlex Care is a patient-reported outcome (PRO)-based telehealth service for adults with type 1 diabetes, intended to enable patient perspectives in consultations. The study aimed to explore endocrinologists' experiences of using PRO to support dialog in diabetes consultations.

Methods

Thematic analysis was conducted on data from participant observations and semi-structured interviews with 13 endocrinologists engaging in DiabetesFlex consultations at a Danish hospital-based diabetes clinic.

Results

Two themes were extracted: 'Perceiving PRO as ambiguous information' and 'Integrating PRO in the care for people with diabetes'. Endocrinologists perceived PRO as situational information with variable quality and validity, depending on patient competencies and commitment. Therefore, endocrinologists used different approaches to integrate PRO in their efforts to improve care for the individual patient. The study also showed that patients’ PRO-responses were rarely discussed among endocrinologists.

Conclusion

Endocrinologists experienced both potentials and challenges in using PRO to support diabetes consultations. To optimize DiabetesFlex Care and similar PRO-based diabetes consultations, a culture should be built up where clinicians share experiences to improve the quality and solve PRO-related problems in consultations.

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内分泌学家在糖尿病患者护理中使用患者报告的结果测量:一项定性研究

diabetesflex Care是一项针对1型糖尿病成人的基于患者报告结果(PRO)的远程医疗服务，旨在使患者能够在咨询中获得观点。本研究旨在探讨内分泌学家在糖尿病会诊中使用PRO支持对话的经验。方法对在丹麦一家医院糖尿病门诊参与DiabetesFlex会诊的13名内分泌学家进行参与者观察和半结构化访谈的数据进行主题分析。结果提取了两个主题:“将PRO视为模糊信息”和“将PRO融入糖尿病患者护理”。内分泌学家认为PRO是一种情境信息，根据患者的能力和承诺，具有可变的质量和有效性。因此，内分泌学家使用不同的方法来整合PRO，以改善对个体患者的护理。研究还表明，内分泌学家很少讨论患者的pro反应。结论内分泌科医师使用PRO支持糖尿病会诊既有潜力，也有挑战。为了优化DiabetesFlex Care和类似的基于pro的糖尿病咨询，应该建立一种临床医生分享经验的文化，以提高咨询质量并解决与pro相关的问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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