Implementing PROMs in primary care : retrospective assessment of a pilot implementation in two general practitioner practices in Switzerland

Stahl, Johanna; Liberatore, Florian; Banning, Stefan; Kobler, Irene; Angerer, Alfred; Lehmann, Joel

Publication type:	Conference paper
Type of review:	Peer review (abstract)
Title:	Implementing PROMs in primary care : retrospective assessment of a pilot implementation in two general practitioner practices in Switzerland
Authors:	Stahl, Johanna Liberatore, Florian Banning, Stefan Kobler, Irene Angerer, Alfred Lehmann, Joel
et. al:	No
Conference details:	22nd EURAM Annual Conference, Winterthur, Switzerland, 15-17 June 2022
Issue Date:	2022
Language:	English
Subjects:	Patient-centered care; Primary care; Patient-reported outcome measure; Implementation science
Subject (DDC):	362.1041: Health economics
Abstract:	Background: The routine use of patient-reported outcome measures (PROMs), among other things, strengthens physician-patient communication and creates more value in long-term healthcare, according to the value-based healthcare philosophy. Study Objectives: To realize the benefits of PROMs, it is necessary to understand the possible barriers and facilitators associated with their establishment. While there are robust findings from implementation science about PROM implementation in the inpatient sector, there is limited research concerning the barriers and facilitators of PROM implementations in primary care. In addition, country-specific differences in the healthcare sector may also play a role. Therefore, this pilot study evaluates possible facilitators and barriers for future PROM implementation in Switzerland’s primary care sector. Methodology: The implementation of a digitally administered PROM instrument in primary care was tested in two Swiss general practices for 6–8 weeks in spring 2021. The validated VR- 12 was chosen as a generic PROM. The process was assessed retrospectively in a debriefing meeting in the participating pilot practices on completion and later analyzed using the consolidated framework for implementation science research (CFIR). Findings: Relevant barriers generally concern the inner and outer setting. Most of the barriers relate to the process design and technical infrastructure of the inner setting. However, the missing reimbursement opportunities when using PROMs in healthcare provision appear to be the main barrier to implementation in terms of the external policy and incentives in the outer setting of the CFIR. Implications: While issues of process design and technical infrastructure are solvable on the organizational level, proper reimbursement when using PROMs in primary care settings is the subject of future tariff negotiations between healthcare providers and payers (e.g. health insurance companies).
URI:	https://digitalcollection.zhaw.ch/handle/11475/25921
Fulltext version:	Published version
License (according to publishing contract):	Licence according to publishing contract
Departement:	School of Management and Law
Organisational Unit:	Winterthur Institute of Health Economics (WIG)
Appears in collections:	Publikationen School of Management and Law

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Stahl, J., Liberatore, F., Banning, S., Kobler, I., Angerer, A., & Lehmann, J. (2022). Implementing PROMs in primary care : retrospective assessment of a pilot implementation in two general practitioner practices in Switzerland. 22nd EURAM Annual Conference, Winterthur, Switzerland, 15-17 June 2022.

Stahl, J. et al. (2022) ‘Implementing PROMs in primary care : retrospective assessment of a pilot implementation in two general practitioner practices in Switzerland’, in 22nd EURAM Annual Conference, Winterthur, Switzerland, 15-17 June 2022.

J. Stahl, F. Liberatore, S. Banning, I. Kobler, A. Angerer, and J. Lehmann, “Implementing PROMs in primary care : retrospective assessment of a pilot implementation in two general practitioner practices in Switzerland,” in 22nd EURAM Annual Conference, Winterthur, Switzerland, 15-17 June 2022, 2022.

STAHL, Johanna, Florian LIBERATORE, Stefan BANNING, Irene KOBLER, Alfred ANGERER und Joel LEHMANN, 2022. Implementing PROMs in primary care : retrospective assessment of a pilot implementation in two general practitioner practices in Switzerland. In: 22nd EURAM Annual Conference, Winterthur, Switzerland, 15-17 June 2022. Conference paper. 2022

Stahl, Johanna, Florian Liberatore, Stefan Banning, Irene Kobler, Alfred Angerer, and Joel Lehmann. 2022. “Implementing PROMs in Primary Care : Retrospective Assessment of a Pilot Implementation in Two General Practitioner Practices in Switzerland.” Conference paper. In 22nd EURAM Annual Conference, Winterthur, Switzerland, 15-17 June 2022.

Stahl, Johanna, et al. “Implementing PROMs in Primary Care : Retrospective Assessment of a Pilot Implementation in Two General Practitioner Practices in Switzerland.” 22nd EURAM Annual Conference, Winterthur, Switzerland, 15-17 June 2022, 2022.