Table 2 Facilitators of the implementation of e-PROMs
Grol’s Framework Themes | Subthemes | Quotes from focus groups |
|---|---|---|
Innovation | Fitting of e-PROMs in clinical practice | “There are lots of things that patients do not tell you, this would be a way to ask for all the information you then need to decide…” Physician C “The key thing for it to work, like any tool, is to be able to do it in front, at the moment in front of the patient.“ Nurse D |
How e-PROMs should be | “Things that are included are usable and useful for my work.“ Nurse S “An e-PROMS, easy to have filled out.” Physician D “I would need it in such a way that in everyday life I don’t forget to investigate all the points… This would standardize the care provided, because we ask all patients the same things. Therefore, we go and investigate the same points.“ Nurse S | |
Individual professional | Value of e-PRO“S | “If the aim is to improve the care aspect, they are certainly useful.“ Nurse E “It is useful because it gathers all the information you need.“ Physician P “However, if you look over time in the medical record, you see that the patient did not have dyspnea. Then, the dyspnea got worse. It got worse. Okay, so today it did not appear. I do not send him to the emergency room, I sedate him. The utility maybe could be something like this: pain, pain, pain. I decide to increase the patch. I increase, I increase, I do not increase the patch. I change therapy completely. The utility maybe is this, among us.“ Physician P |
Patient | e-PROMs trigger communication with patient | “Useful because it is a starting point for the examination”. Physician P “However, you see all the symptoms, you see the patient’s problem, you start from there”. Physician P “It could be a guide, in the sense that I always ask the same thing at each visit.“ Nurse S |
Social context | e-PROMS and team communication | “While the core information and the confrontation between professionals, etc., my philosophy of thinking is that at the base there has to be a multidisciplinary approach.“ Nurse G “e-PROMS could help compensate for the lack of communication.“ Physician P |