JMIR Publications

ABSTRACT

Background:

Health measurement guides policies and healthcare decisions and is necessary to describe and attain the quintuple aim of improving patient experience, population health, care team well-being, healthcare costs and equity. In the primary care setting, patient-reported outcome measurement allows outcomes comparison within and across settings, and the improvement of clinical management of patients. However, these digital patient-reported outcomes measures are still not adapted to the clinical context of primary healthcare, an indication of the complexity of integrating these tools in this context. We must then gather evidence of their impact on chronic disease management in primary healthcare and understand the characteristics of effective implementation.

Objective:

We will conduct a systematic review to identify and assess the impact of ePROMs implantation in primary health care for chronic disease management. Our specific objectives are: (1) Determine the impact of ePROMs in primary health care for chronic disease management. (2) Compare and contrast characteristics of effective ePROMs’ implementation strategies.

Methods:

We will conduct a systematic review of the literature according to the Cochrane Methods Group and in compliance with the PRISMA Guidelines for its reporting. A specific search strategy was developed for relevant databases to identify studies. Two reviewers will independently apply the inclusion criteria using the full texts and extract the data. We will use a two-phase sequential mixed methods synthesis design by conducting a qualitative synthesis first, and use its results to perform a quantitative synthesis.

Results:

The timeline for the project has started in June 2022 by putting together the research team and the knowledge transfer committee. The preliminary search strategy will be developed and completed in September 2022. The main search strategy, data collection, study selection and application of inclusion criteria will be completed from October to December 2022.

Conclusions:

Results from this study will help support implementation efforts to accelerate innovations and digital adoption for primary healthcare and will be relevant for improving clinical management of chronic diseases, healthcare services and policies. Clinical Trial: PROSPERO Systematic Review Registry (ID: CRD42022333513)