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PRIMARY CARE PHYSICIANS AND ALLIED HEALTH PROFESSIONALS

can now capture, more effectively monitor and treat their patients’ Health Related Quality of Life (HRQoL) by having patients complete ePROMs as a matter of routine, and thereby practice outcomes medicine.

Increasing numbers of Physicians have long been interested in PROMs and some strongly advocate for their use in clinical practice

As early as 2004 Appleby and Delvin noted many examples of clinicians using these data to inform and monitor their own clinical practice. This included;

  • Examining PROMs data before treatment and using them as a base for discussing treatment options with patients
  • Helping them answer questions what works? What does not work?
  • Helping to detect health problems that might otherwise be missed
  • Monitoring disease progression
  • Facilitate patient-clinician communication
  • Monitoring outcomes to improve quality

This is now known as Routine Health Outcomes Measurement

For Australian GPs two Medicare Item Groups of Services currently exist that facilitate the utilisation of ePROMs

These are :

  1. Mental Health Care Plans
    Part of the requirements for GP’s assessing and administering such care plans is that they utilise an outcome measurement tool. These outcome measurement tools are now available as ePROMs which enable graphic printouts of progressive scores over time. This enables the GP to determine if the psychological intervention has been effective in improving the patient’s mental health care status.
  2. Chronic Disease Management Care Plans and Health Assessments
    Often carried out with the assistance of the practice nurse these ePROMs would allow the practice nurse to ensure the effectiveness of these care plans in improving the patient’s Health Related Quality of Life (HRQoL)

OUTCOMES MEDICINE

Primary-Care Physicians interested in practicing ePROM or Outcomes Medicine should benefit from utilising the 4 types of ePROMs available from eHealthier. These are Preventive ePROMs, Functional ePROMs, “Cared-For” ePROMs (ePREMs) and Longevity ePROMs