wow-inequalities/02-data/intermediate/wos_sample/c6a24a37f95ae09f7609bff8e9d2ea92-hyland-colby-j.-and/info.yaml

abstract: 'Plain English summary Patient-reported outcomes (PROs) allow doctors and

  researchers to understand the patient perspective, such as how they are

  doing physically, mentally, or socially. When used, PROs can improve

  health and increase satisfaction of patients. Many clinics and hospitals

  are interested in using PROs in everyday care. Doctors, hospitals, and

  insurance companies are also using information from PROs to decide if

  the care they give is good quality. Unfortunately, certain groups of

  patients, such as racial and ethnic minorities and patients with low

  income, report worse PROs. Because of these differences, it will be

  important to make sure that PROs are being collected from all people,

  but not much is known regarding how this has been done. This study

  demonstrates what is known so far with regard to using PROs in everyday

  clinical care for these diverse patient groups. Findings from this study

  show that PROs can be successfully collected, but more work is needed in

  certain medical fields, and some types of patients have specific needs,

  concerns, or preferences with regard to PRO collection.

  Background Patient-reported outcomes (PROs) are used increasingly in

  routine clinical care and inform policies, reimbursements, and quality

  improvement. Less is known regarding PRO implementation in routine

  clinical care for diverse and underrepresented patient populations.

  Objective This review aims to identify studies of PRO implementation in

  diverse and underrepresented patient populations, elucidate

  representation of clinical specialties, assess implementation outcomes,

  and synthesize patient needs, concerns, and preferences. Methods

  MEDLINE, Embase, Web of Science, CINAHL, and PsycINFO were searched

  September 2021 for studies aiming to study PRO implementation in diverse

  and underrepresented patient populations within the United States.

  Studies were screened and data extracted by three independent reviewers.

  Implementation outcomes were assessed according to Proctor et al.

  taxonomy. A descriptive analysis of data was conducted. Results The

  search yielded 8,687 records, and 28 studies met inclusion criteria. The

  majority were observational cohort studies (n = 21, 75\%) and conducted

  in primary care (n = 10, 36\%). Most studies included majority female (n

  = 19, 68\%) and non-White populations (n = 15, 54\%), while fewer

  reported socioeconomic (n = 11, 39\%) or insurance status (n = 9,

  32.1\%). Most studies assessed implementation outcomes of feasibility (n

  = 27, 96\%) and acceptability (n = 19, 68\%); costs (n = 3, 11\%),

  penetration (n = 1, 4\%), and sustainability (n = 1, 4\%) were

  infrequently assessed. Conclusion PRO implementation in routine clinical

  care for diverse and underrepresented patient populations is generally

  feasible and acceptable. Research is lacking in key clinical

  specialties. Further work is needed to understand how health disparities

  drive PRO implementation outcomes.'
affiliation: 'Hyland, CJ (Corresponding Author), Harvard Med Sch, Brigham \& Womens
  Hosp, Boston, MA 02115 USA.

  Hyland, Colby J.; Guo, Ruby; Kaur, Manraj N.; Edelen, Maria O.; Pusic, Andrea L.,
  Harvard Med Sch, Brigham \& Womens Hosp, Boston, MA 02115 USA.

  Dhawan, Ravi, Brigham \& Womens Hosp, Harvard Sch Publ Hlth, 75 Francis St, Boston,
  MA 02115 USA.

  Bain, Paul A., Harvard Med Sch, Countway Lib, Boston, MA 02115 USA.'
article-number: '20'
author: Hyland, Colby J. and Guo, Ruby and Dhawan, Ravi and Kaur, Manraj N. and Bain,
  Paul A. and Edelen, Maria O. and Pusic, Andrea L.
author-email: colby.hyland@gmail.com
author_list:
- family: Hyland
  given: Colby J.
- family: Guo
  given: Ruby
- family: Dhawan
  given: Ravi
- family: Kaur
  given: Manraj N.
- family: Bain
  given: Paul A.
- family: Edelen
  given: Maria O.
- family: Pusic
  given: Andrea L.
da: '2023-09-28'
doi: 10.1186/s41687-022-00428-z
eissn: 2509-8020
files: []
journal: JOURNAL OF PATIENT-REPORTED OUTCOMES
keywords: 'Patient-reported outcome; Patient-reported outcome measure; PRO; PROM;

  Clinical care; Implementation; Diverse; Underrepresented patient

  population'
keywords-plus: 'SOCIAL DETERMINANTS; HEALTH-CARE; DISPARITIES; DEPRESSION; IMPACT;

  COLLECTION; LESSONS; BURDEN; ADULTS; TRIAL'
language: English
month: MAR 7
number: '1'
number-of-cited-references: '74'
orcid-numbers: Hyland, Colby/0000-0002-9150-0144
papis_id: dbdcbe5c626ea2d1bd405da04adc9dce
ref: Hyland2022implementingpatientr
tags:
- review
times-cited: '4'
title: Implementing patient-reported outcomes in routine clinical care for diverse
  and underrepresented patients in the United States
type: article
unique-id: WOS:000765775000002
usage-count-last-180-days: '0'
usage-count-since-2013: '3'
volume: '6'
web-of-science-categories: Health Care Sciences \& Services; Health Policy \& Services
year: '2022'