PLOS digital health Pub Date : 2025-01-06 eCollection Date: 2025-01-01 DOI:10.1371/journal.pdig.0000704
Anne Alarilla, Neil J Sebire, Josh Keith, Mario Cortina-Borja, Jo Wray, Gwyneth Davies
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摘要

患者报告结果测量(PROMs)记录了患者对其健康状况的看法,将患者报告结果测量作为儿童和青少年标准护理的一部分,有可能改善患者/护理人员与临床医生之间的沟通,提高护理质量。用于收集或访问 PROMs 的电子系统以及将 PROMs 整合到电子健康记录中有助于将其应用到常规护理中,并有助于最大限度地发挥其价值。然而,人们对实施的技术方面知之甚少,包括可用于收集和捕获的电子系统,以及这将如何影响 PROMs 在常规护理中的价值,本范围综述旨在对此进行探讨。本综述采用乔安娜-布里格斯研究所(Joanna Briggs Institute)的综述流程。首先于 2021 年 2 月检索了七个数据库(Emcare、Embase MEDLINE、APA PsychInfo、Scopus 和 Web of Science),并于 2023 年 4 月进行了更新。只有提及使用电子系统收集、存储和/或访问 PROMs 作为二级(或三级)医疗机构中儿童和青少年标准护理的一部分的研究才被纳入。我们使用频率计数对数据进行了分析,并根据研究问题使用基本内容分析法对数据进行了主题映射。在符合全文审查条件的 372 项研究中,有 85 项研究符合纳入标准。研究结果表明,在收集、存储和访问 PROMs 时所使用的电子平台存在很大差异,这导致了不同的配置和零散的实施方法。在实施过程中似乎缺乏对技术方面的考虑,如所收集数据的可访问性、可使用性和互操作性。在儿童青少年常规护理中收集和获取 PROMs 的电子平台很受欢迎,然而,需要进一步了解使用电子系统实施过程中的技术考虑因素,以最大限度地发挥 PROMs 在常规护理中的潜在价值并支持其可扩展性。
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A scoping review of the electronic collection and capture of patient reported outcome measures for children and young people in the hospital setting.

Patient reported outcome measures (PROMs) capture patients' views of their health status and the use of PROMs as part of standard care of children and young people has the potential to improve communication between patients/carers and clinicians and the quality of care. Electronic systems for the collection of or access to PROMs and integrating PROMs into electronic health records facilitates their implementation in routine care and could help maximise their value. Yet little is known about the technical aspects of implementation including the electronic systems available for collection and capture and how this may influence the value of PROMs in routine care which this scoping review aims to explore. The Joanna Briggs Institute review process was used. Seven databases were searched (Emcare, Embase MEDLINE, APA PsychInfo, Scopus and Web of Science), initially in February 2021 and updated in April 2023. Only studies that mentioned the use of electronic systems for the collection, storage and/or access of PROMs as part of standard care of children and young people in secondary (or tertiary) care settings were included. Data were analysed using frequency counts and thematically mapped using basic content analysis in relation to the research questions. From the 372 studies that were eligible for full text review, 85 studies met the inclusion criteria. The findings show that there is great variability in the electronic platforms used in the collection, storage and access of PROMs resulting in different configurations and fragmented approaches to implementation. There appears to be a lack of consideration on the technical aspects of the implementation such as the accessibility, useability and interoperability of the data collected. Electronic platforms for the collection and capture of PROMs in routine care of CYP is popular, yet, further understanding of the technical considerations in the use of electronic systems for implementation is needed to maximise the potential value and support the scalability of PROMs in routine care.

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