Etablering af fælles fodslag: patienter og klinikeres forventninger til PRO-data i behandlingen af multipel sclerose
Publiceret 2023-12-07
Citation/Eksport
Resumé
Brug af Patientrapporterede Oplysninger (PRO) i mødet mellem patient og sundhedsprofessionel kan styrke patientinddragelsen og højne behandlingskvaliteten. Formålet med dette studie er at undersøge, hvordan PRO bliver relevant og meningsfuldt at anvende for både personer med multipel sclerose (MS) og sundhedsprofessionelle.
Undersøgelsen bestod af 1) et systematisk litteraturstudie, hvor eksisterende PRO-spørgeskemaer indenfor MS-området, og hvorvidt der har været inddraget patienter i udviklingen af dem, blev kortlagt2) en interviewundersøgelse, hvor personer med MS’ perspektiv på PRO blev undersøgt, 3) en workshop hvor sundhedsprofessionelles perspektiv på PRO blev undersøgt.
Der er et øget behov for at inddrage personer med MS i udviklingen af PRO, hvis PRO skal være relevant for personer med MS samt fremme personcentrering i MS-behandlingen. For at PRO-spørgeskemaer bliver meningsfulde for både personer med MS og sundhedsprofessionelle at anvende, skal PRO kunne tilpasses den enkelte patient, da sygdomsforløbet og symptomprofilen for personer med MS kan variere meget. Imidlertid bør det overvejes om alle patienter har gavn af PRO. For at favne, hvad der for personer med MS er relevant at drøfte med en sundhedsprofessionel, bør PRO-spørgeskemaer omfatte neurologiske symptomer, kognitive funktionsnedsættelser, mental sundhed og velvære, egenomsorg og sociale udfordringer relateret til MS. Dog bør dette afstemmes ift. den sundhedsprofessionelles kompetencer, både for at den sundhedsprofessionelle oplever at kunne give evidente råd om symptomer og behandling, men også for at patienten modtager den bedst mulige behandling og vejledning. Desuden må PRO ikke være tidskrævende, hverken for de sundhedsprofessionelle at anvende eller for patienterne at udfylde. Imidlertid kan det diskuteres, hvorvidt det danske sundhedsvæsen rustet og organiseret til at inkorporerer et tiltag som PRO, som reflekterer både patienter og sundhedsprofessionelles ønsker og behov.
Referencer
- A. Hakim, E., Bakheit, A. M. O., Bryant, T. N., Roberts, M. W. H., McIntosh-Michaelis, S. A., Spackman, A. J., Martin, J. P., & McLellan, D. L. (2000). The social impact of multiple sclerosis—A study of 305 patients and their relatives. Disability and Rehabilitation, 22(6), 288–293. https://doi.org/10.1080/096382800296755
- Ahmed, S., Barbera, L., Bartlett, S. J., Bebb, D. G., Brundage, M., Bryan, S., Cheung, W. Y., Coburn, N., Crump, T., Cuthbertson, L., Howell, D., Klassen, A. F., Leduc, S., Li, M., Mayo, N. E., McKinnon, G., Olson, R., Pink, J., Robinson, J. W., … Temple, W. (2020). A Catalyst for Transforming Health Systems and Person-Centred Care: Canadian National Position Statement on Patient-Reported Outcomes. Current Oncology, 27(2), 90–99. https://doi.org/10.3747/co.27.6399
- Attride-Stirling, J. (2001). Thematic networks: An analytic tool for qualitative research. Qualitative Research, 1(3), 385–405. https://doi.org/10.1177/146879410100100307
- Black, N. (2013). Patient reported outcome measures could help transform healthcare. BMJ, 346(jan28 1), f167–f167. https://doi.org/10.1136/bmj.f167
- Black, N., Burke, L., Forrest, C. B., Ravens Sieberer, U. H., Ahmed, S., Valderas, J. M., Bartlett, S. J., & Alonso, J. (2016). Patient-reported outcomes: Pathways to better health, better services, and better societies. Quality of Life Research, 25(5), 1103–1112. https://doi.org/10.1007/s11136-015-1168-3
- Briley, M. & Lépine. (2011). The increasing burden of depression. Neuropsychiatric Disease and Treatment, 3. https://doi.org/10.2147/NDT.S19617
- Chin, J. J. (2002). Doctor-patient Relationship: From Medical Paternalism to Enhanced Autonomy. Singapore Med J, 43(3), 152–155.
- Danske Regioner. (2016). Aftale om regionernes økonomi for 2017. Danske Regioner. https://www.regioner.dk/media/3097/aftale-om-regionernes-oekonomi-for-2017.pdf
- Dellenborg, L., Wikström, E., & Andersson Erichsen, A. (2019). Factors that may promote the learning of person-centred care: An ethnographic study of an implementation programme for healthcare professionals in a medical emergency ward in Sweden. Advances in Health Sciences Education, 24(2), 353–381. https://doi.org/10.1007/s10459-018-09869-y
- Edvardsson, D. (2015). Notes on person-centred care: What it is and what it is not. Nordic Journal of Nursing Research, 35(2), 65–66. https://doi.org/10.1177/0107408315582296
- Eriksen, J., Bygholm, A., & Bertelsen, P. (2020). The Purpose of Patient-Reported Outcome (PRO) Post Its Digitalization and Integration into Clinical Practice: An Interdisciplinary Redefinition Resembling PROs Theoretical and Practical Evolvement. Applied Sciences, 10(21), 7507. https://doi.org/10.3390/app10217507
- Feinstein, A. (2004). The Neuropsychiatry of Multiple Sclerosis. Can J Psychiatry, 49(3), 7.
- Ghasemi, N., Razavi, S., & Nikzad, E. (2017). Multiple Sclerosis: Pathogenesis, Symptoms, Diagnoses and Cell-Based Therapy. CELL JOURNAL, 19(1), 10.
- Hanna, M., & Strober, L. B. (2020). Anxiety and depression in Multiple Sclerosis (MS): Antecedents, consequences, and differential impact on well-being and quality of life. Multiple Sclerosis and Related Disorders, 44, 102261. https://doi.org/10.1016/j.msard.2020.102261
- Højgaard, B., & Kjellberg, J. (2017). Fem megatrends der udfordrer fremtidens sundhedsvæsen. KORA. https://www.vive.dk/media/pure/8760/2038344
- Højgaard, B., Kjellberg, J., & Bech, M. (2018). Den statslige styring af det regionale sundhedsområde: Analyse af centrale instrumenter. VIVE - Det nationale Forsknings- og Analysecenter for Velfærd. https://www.vive.dk/media/pure/11158/2305557
- Holm-Petersen, C., Wadmann, S., & Belén Vejen Andersen, N. (2015). Sammenfatning: Styringsreview på hospitalsområdet—Forslag til procedure- og regelforenkling. 18. https://www.vive.dk/media/pure/8978/2041952
- Jensen, H. A., Davidsen, M., Rossen Møller, S., Ellegaard Ibánez Román, Kragelund, K., Illemann Christensen, A., & Ekholm, O. (2021). Danskernes sundhed. 196. https://www.sst.dk/-/media/Udgivelser/2022/Sundhedsprofil/Sundhedsprofilen.ashx?sc_lang=da&hash=5C9A9A81483F6C987D5651976B72ECB2
- Joensen, L., Fisher, L., Skinner, T., Doherty, Y., & Willaing, I. (2019). Integrating psychosocial support into routine diabetes care: Perspectives from participants at the Self-Management Alliance meeting 2016. Diabetic Medicine, 36(7), 847–853. https://doi.org/10.1111/dme.13836
- Johansen, C. (2014). Barriers to Addressing Psychological Problems in Diabetes: Perspectives of Diabetologists on Routine Diabetes Consultations in Denmark. Journal of Psychology & Psychotherapy, 04(03). https://doi.org/10.4172/2161-0487.1000141
- Kern, D. E., Branch, W. T., Jackson, J. L., Brady, D. W., Feldman, M. D., Levinson, W., & Lipkin, M. (2005). Teaching the Psychosocial Aspects of Care in the Clinical Setting: Practical Recommendations: Academic Medicine, 80(1), 8–20. https://doi.org/10.1097/00001888-200501000-00006
- Kjellberg, J., & Ibsen, R. (2020). Sclerose og arbejdsmarkedstilknytning. VIVE. https://www.vive.dk/media/pure/15202/4494732
- Kleinman, A., Eisenberg, L., & Good, B. (1978). Culture, illness, and care: Clinical lessons from anthropologic and cross-cultural research. 88((2)), 251–258. https://doi.org/10.7326/0003-4819-88-2-251
- Krist, A. H., Tong, S. T., Aycock, R. A., & Longo, D. R. (2017). Engaging patients in decision-making and behavior change to promote prevention. Information Services & Use, 37(2), 105–122. https://doi.org/10.3233/ISU-170826
- Kunneman, M., Montori, V. M., Castaneda-Guarderas, A., & Hess, E. P. (2016). What Is Shared Decision Making? (And What It Is Not). Academic Emergency Medicine, 23(12), 1320–1324. https://doi.org/10.1111/acem.13065
- Kunneman, M., & Montori, V. M. (2017). When patient-centred care is worth doing well: Informed consent or shared decision-making. BMJ Quality & Safety, 26(7), 522–524. https://doi.org/10.1136/bmjqs-2016-005969
- Landfeldt, E., Castelo-Branco, A., Svedbom, A., Löfroth, E., Kavaliunas, A., & Hillert, J. (2018). The long-term impact of multiple sclerosis on the risk of divorce. Multiple Sclerosis and Related Disorders, 24, 145–150. https://doi.org/10.1016/j.msard.2018.07.002
- Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gotzsche, P. C., Ioannidis, J. P. A., Clarke, M., Devereaux, P. J., Kleijnen, J., & Moher, D. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: Explanation and elaboration. BMJ, 339(jul21 1), b2700–b2700. https://doi.org/10.1136/bmj.b2700
- Lindsay, S. E., Alokozai, A., Eppler, S. L., Fox, P., Curtin, C., Gardner, M., Avedian, R., Palanca, A., Abrams, G. D., Cheng, I., & Kamal, R. N. (2020). Patient Preferences for Shared Decision Making: Not All Decisions Should Be Shared. Journal of the American Academy of Orthopaedic Surgeons, 28(10), 419–426. https://doi.org/10.5435/JAAOS-D-19-00146
- Magyari, M., Joensen, H., Laursen, B., & Koch‐Henriksen, N. (2021). The Danish Multiple Sclerosis Registry. Brain and Behavior, 11(1). https://doi.org/10.1002/brb3.1921
- McKenna, S. P. (2011). Measuring patient-reported outcomes: Moving beyond misplaced common sense to hard science. BMC Medicine, 9(1), 86. https://doi.org/10.1186/1741-7015-9-86
- Munch-Petersen, M. (2019). Brugerinddragelse og ulighed i sundhed. Videnscenter for Brugerinddragelse i Sundhedsvæsenet. https://www.cancer.dk/dyn/resources/File/file/0/8280/1573035363/ulighed_og_brugerinddragelse_2019-bilag-3.pdf
- Nelson, E. C., Hvitfeldt, H., Reid, R., Grossman, D., Lindblad, S., Mastanduno, M. P., Torrey-Weiss, L., Fisher, E. S., & Weinstein, J. N. (2012). Using Patient-Reported Information to Improve Health Outcomes and Health Care Value: Case Studies from Dartmouth, Karolinska and Group Health. The Dartmouth Institute for Health Policy and Clinical Practice, 55.
- Nic Giolla Easpaig, B., Tran, Y., Bierbaum, M., Arnolda, G., Delaney, G. P., Liauw, W., Ward, R. L., Olver, I., Currow, D., Girgis, A., Durcinoska, I., & Braithwaite, J. (2020). What are the attitudes of health professionals regarding patient reported outcome measures (PROMs) in oncology practice? A mixed-method synthesis of the qualitative evidence. BMC Health Services Research, 20(1), 102. https://doi.org/10.1186/s12913-020-4939-7
- Peyrot, M., Rubin, R. R., Lauritzen, T., Snoek, F. J., Matthews, D. R., & Skovlund, S. E. (2005). Psychosocial problems and barriers to improved diabetes management: Results of the Cross-National Diabetes Attitudes, Wishes and Needs (DAWN) Study. Diabetic Medicine, 22(10), 1379–1385. https://doi.org/10.1111/j.1464-5491.2005.01644.x
- Pfleger, C., Flachs, E., & Koch-Henriksen, N. (2010). Social consequences of multiple sclerosis. Part 2. Divorce and separation: A historical prospective cohort study. Multiple Sclerosis Journal, 16(7), 878–882. https://doi.org/10.1177/1352458510370978
- Regeringen, Danske Regioner, & KL. (2016). Aftale om nationale mål for sundhedsvæsenet. https://sum.dk/Media/9/0/Aftaletekst%20Nationale%20m%c3%a5l%20for%20sundhedsv%c3%a6senet%202016.pdf
- Reitzel, S. B., Lynning, M., & Skovgaard, L. (2022). Neurologists’ views on patient reported outcomes in multiple sclerosis care. Heliyon, 8(6), e09637. https://doi.org/10.1016/j.heliyon.2022.e09637
- Reitzel, S. B., Magyari, M., Skovgaard, L., & Kristiansen, M. (2022). Patient involvement in the development of PROMs within the MS Field: A systematic review. Patient Experience Journal, 9(1), 169–173. https://doi.org/10.35680/2372-0247.1662
- Riiskjær, E. (2014). Patienten som partner: En nødvendig idé med ringe plads. Syddansk Universitetsforlag. https://www.universitypress.dk/images/pdf/2821.pdf
- Riiskjær, E., Schougaard, L. M. V., Larsen, L. P., & Hjøllund, N. H. (2014). Hvordan kan patientrapporterede oplysninger (PRO) bruges i klinisk praksis? – Belyst med udgangspunkt i fire forskellige konsultationsmodeller. Nordisk sygeplejeforskning, 4(3), 189–212. https://doi.org/10.18261/ISSN1892-2686-2014-03-03
- Robinson, J. H., Callister, L. C., Berry, J. A., & Dearing, K. A. (2008). Patient-centered care and adherence: Definitions and applications to improve outcomes. Journal of the American Academy of Nurse Practitioners, 20(12), 600–607. https://doi.org/10.1111/j.1745-7599.2008.00360.x
- Sippel, A., Riemann-Lorenz, K., Scheiderbauer, J., Kleiter, I., Morrison, R., Kofahl, C., & Heesen, C. (2021). Patients experiences with multiple sclerosis disease-modifying therapies in daily life – a qualitative interview study. BMC Health Services Research, 21(1), 1141. https://doi.org/10.1186/s12913-021-07012-z
- Skovlund, S. E., Lichtenberg, T., Hessler, D., & Ejskjaer, N. (2019). Can the Routine Use of Patient-Reported Outcome Measures Improve the Delivery of Person-Centered Diabetes Care? A Review of Recent Developments and a Case Study. Current Diabetes Reports, 19(9), 84. https://doi.org/10.1007/s11892-019-1190-x
- Staniszewska, S., Haywood, K. L., Brett, J., & Tutton, L. (2012). Patient and Public Involvement in Patient-Reported Outcome Measures: Evolution Not Revolution. The Patient: Patient-Centered Outcomes Research, 5(2), 79–87. https://doi.org/10.2165/11597150-000000000-00000
- Sundheds- og Ældreministeriet. (2016). National arbejdsgruppe til understøttelse af Patient Rapporterede Oplysninger (PRO). https://sundhedsdatastyrelsen.dk/-/media/subsites/pro/filer/pro/forstaaelsespapir-for-pro-(pdf).pdf
- Sundhedsministeriet, Danske Regioner, & KL. (2021). Nationale mål for sundhedsvæsenet. https://sum.dk/Media/9/0/Aftaletekst%20Nationale%20m%c3%a5l%20for%20sundhedsv%c3%a6senet%202016.pdf
- Townsend, A., Wyke, S., & Hunt, K. (2006). Self-managing and managing self: Practical and moral dilemmas in accounts of living with chronic illness. Chronic Illness, 2(3), 185–194. https://doi.org/10.1179/174592006X129518
- Trujols, J., Portella, M. J., Iraurgi, I., Campins, M. J., Siñol, N., & Cobos, J. P. de L. (2013). Patient-reported outcome measures: Are they patient-generated, patient-centred or patient-valued? Journal of Mental Health, 22(6), 555–562. https://doi.org/10.3109/09638237.2012.734653
- Walton, C., King, R., Rechtman, L., Kaye, W., Leray, E., Marrie, R. A., Robertson, N., La Rocca, N., Uitdehaag, B., van der Mei, I., Wallin, M., Helme, A., Angood Napier, C., Rijke, N., & Baneke, P. (2020). Rising prevalence of multiple sclerosis worldwide: Insights from the Atlas of MS, third edition. Multiple Sclerosis Journal, 26(14), 1816–1821. https://doi.org/10.1177/1352458520970841
- Westergaard, K., Skovgaard, L., Magyari, M., & Kristiansen, M. (2021). Patient perspectives on patient-reported outcomes in multiple sclerosis treatment trajectories: A qualitative study of why, what, and how? Multiple Sclerosis and Related Disorders, 58, 103475. https://doi.org/10.1016/j.msard.2021.103475
- Wiering, B., de Boer, D., & Delnoij, D. (2017). Patient involvement in the development of patient-reported outcome measures: A scoping review. Health Expectations, 20(1), 11–23. https://doi.org/10.1111/hex.12442
- Wolf, A., Ekman, I., & Dellenborg, L. (2012). Everyday practices at the medical ward: A 16-month ethnographic field study. BMC Health Services Research, 12(1), 184. https://doi.org/10.1186/1472-6963-12-184