Clinical integration of digital self-reported patient measures in community healthcare for longterm diseases management – a systematic literature review (inPR1nt)

Background: Health measurement, which guides policies and healthcare decisions, is necessary to improve patient experience, population health, care team wellbeing, and healthcare costs. A foundation of health measurement is to integrate the patient’s point of view with the goal of offering health services that are tailored and patient-centered, using Patient-reported outcome measurement (PROMs). To address the challenge of using PROMs in day-today clinical work, we must gather scientific evidence on the impact of digital PROMs in primary healthcare and understand the characteristics of effective implementation.

The objective of this project is to identify and assess the impact of implementation of digital PROMs in primary healthcare for chronic diseases management. Specifically, we aim to:1) Identify scientific literature on digital PROMs’ implementation in primary healthcare; 2) Assess the impact of digital PROMs’ implementation in primary healthcare for long-term disease management; 3) Compare and contrast characteristics of effective PROMs’ implementation strategies; 4) Contextualize evidence for the Canadian context and its stakeholders, including decision makers.

METHODS: We will conduct a systematic review of the literature to attain our objective. First, we will develop a search strategy under the leadership and guidance of an experienced information specialist. Second, the titles, abstracts and texts of scientific literature will be evaluated by two independent reviewers to apply inclusion criteria. Third, two reviewers will independently extract the relevant data from the literature selected. Finally, we will synthesize the data on the effect of digital PROMs in primary healthcare clinic and what are the conditions associated with effective implementation.

Expected results: The patientcentered approach facilitated by PROMs in primary healthcare could greatly improve health equity for populations needing a tailored approach of care.