Implementing PROMs in routine clinical care: a qualitative exploration of GP perspectives
Background: The recently announced long-term plan for the NHS is based on a model of person-centred care, which relies on the sustained engagement of patients, shared decision making, and capability for self-management. For a primary care service under increasing pressure from an ageing and chronic...
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doaj-cac0746eb98a4141b4d483a045b45a3d2021-02-26T06:27:02ZengRoyal College of General PractitionersBJGP Open2398-37952021-01-015110.3399/bjgpopen20X101135Implementing PROMs in routine clinical care: a qualitative exploration of GP perspectivesIan Litchfield0Sheila Greenfield1Grace M Turner2Samuel Finnikin3Melanie J Calvert4Institute of Applied Health Research, University of Birmingham College of Medical and Dental Sciences, Birmingham, UKInstitute of Applied Health Research, University of Birmingham College of Medical and Dental Sciences, Birmingham, UKInstitute of Applied Health Research, University of Birmingham College of Medical and Dental Sciences, Birmingham, UKInstitute of Applied Health Research, University of Birmingham College of Medical and Dental Sciences, Birmingham, UKInstitute of Applied Health Research, University of Birmingham College of Medical and Dental Sciences, Birmingham, UKBackground: The recently announced long-term plan for the NHS is based on a model of person-centred care, which relies on the sustained engagement of patients, shared decision making, and capability for self-management. For a primary care service under increasing pressure from an ageing and chronically ill population, Patient Reported Outcome Measures (PROMs) appear capable of supporting many of the requirements for person-centred care, yet little is known of the circumstances of their current implementation or how their use might be optimised. Aim: To begin the conversation about how successfully PROMs have been integrated into primary care and how their use might be supported. Design & setting: A qualitative investigation of the perspectives of GPs exploring the use of PROMs as part of routine clinical care in England. Method: Semi-structured telephone interviews were conducted with GPs from across England. The data were analysed using the Consolidated Framework for Implementation Research (CFIR). Results: A total of 25 interviews were conducted and GPs described the potential benefit of PROMs in a range of circumstances, but also voiced concerns about their reliability and their potential to constrain consultations. Their flexibility meant they had the potential to be incorporated into existing care processes but only with the requisite logistical support. Conclusion: Areas that need to be addressed include the creation of a compelling body of evidence of the benefit of PROMs, appropriate training for staff and patients, and a coherent implementation strategy from policymakers and funding bodies.https://bjgpopen.org/content/5/1/bjgpopen20X101135qualitative researchfamily practicegeneral practitionerspatient perspectives |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ian Litchfield Sheila Greenfield Grace M Turner Samuel Finnikin Melanie J Calvert |
spellingShingle |
Ian Litchfield Sheila Greenfield Grace M Turner Samuel Finnikin Melanie J Calvert Implementing PROMs in routine clinical care: a qualitative exploration of GP perspectives BJGP Open qualitative research family practice general practitioners patient perspectives |
author_facet |
Ian Litchfield Sheila Greenfield Grace M Turner Samuel Finnikin Melanie J Calvert |
author_sort |
Ian Litchfield |
title |
Implementing PROMs in routine clinical care: a qualitative exploration of GP perspectives |
title_short |
Implementing PROMs in routine clinical care: a qualitative exploration of GP perspectives |
title_full |
Implementing PROMs in routine clinical care: a qualitative exploration of GP perspectives |
title_fullStr |
Implementing PROMs in routine clinical care: a qualitative exploration of GP perspectives |
title_full_unstemmed |
Implementing PROMs in routine clinical care: a qualitative exploration of GP perspectives |
title_sort |
implementing proms in routine clinical care: a qualitative exploration of gp perspectives |
publisher |
Royal College of General Practitioners |
series |
BJGP Open |
issn |
2398-3795 |
publishDate |
2021-01-01 |
description |
Background: The recently announced long-term plan for the NHS is based on a model of person-centred care, which relies on the sustained engagement of patients, shared decision making, and capability for self-management. For a primary care service under increasing pressure from an ageing and chronically ill population, Patient Reported Outcome Measures (PROMs) appear capable of supporting many of the requirements for person-centred care, yet little is known of the circumstances of their current implementation or how their use might be optimised. Aim: To begin the conversation about how successfully PROMs have been integrated into primary care and how their use might be supported. Design & setting: A qualitative investigation of the perspectives of GPs exploring the use of PROMs as part of routine clinical care in England. Method: Semi-structured telephone interviews were conducted with GPs from across England. The data were analysed using the Consolidated Framework for Implementation Research (CFIR). Results: A total of 25 interviews were conducted and GPs described the potential benefit of PROMs in a range of circumstances, but also voiced concerns about their reliability and their potential to constrain consultations. Their flexibility meant they had the potential to be incorporated into existing care processes but only with the requisite logistical support. Conclusion: Areas that need to be addressed include the creation of a compelling body of evidence of the benefit of PROMs, appropriate training for staff and patients, and a coherent implementation strategy from policymakers and funding bodies. |
topic |
qualitative research family practice general practitioners patient perspectives |
url |
https://bjgpopen.org/content/5/1/bjgpopen20X101135 |
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