Qualitative study of patient-reported outcome data collection among clinicians in dermatology at a single academic center
Need to claim your poster? Find the KiKo table at the conference and they'll help
you get set up.
Presented at: Society for Investigative Dermatology 2025
Date: 2025-05-07 00:00:00
Views: 1
Summary: Abstract Body: Patient reported outcomes (PRO) collection helps dermatologists better understand patient perspectives to facilitate shared medical decision-making. One AAD quality metric is to collect quality of life assessments at least once within a 12-month period for patients with chronic skin diseases, but most clinicians do not routinely collect PRO. This semi-structured interview study aimed to elicit key preferences, facilitators, and barriers for routine PRO collection by clinicians in dermatology practices. Clinicians were recruited from Emory Dermatology, which has implemented routine PRO collection. Verbatim transcripts were coded and analyzed deductively using the Theoretical Domains Framework to generate salient themes. We include interview data from nine dermatologists and one APP. Professional roles of all interviewed clinicians aligned with PRO collection. Memory, attention, and decision-making requirements for PRO collection by clinicians were minimized via automation in the electronic medical record (EMR). Skills in navigating EMR were needed to retrieve PRO data. Environmental factors affecting PRO collection included patient MyChart access, IT support for PRO integration into the EMR, institutional interest in PRO collection and research, limited clinician oversight on PRO collection by other staff members, and high patient volume in dermatology clinics. Social support between staff allowed workflow division and maximized opportunities for PRO collection, while survey fatigue and patient skepticism on PRO utility affected PRO collection. This study was limited to clinician perspectives in a single clinic. To broadly implement routine PRO data collection, automation and utilization in the EMR, demonstrating PRO value, establishing institutional support, and streamlining workflow are needed. Anna Fischer<sup>1</sup>, Roxana Hojjatie<sup>1</sup>, Robert A. Swerlick<sup>1</sup>, Yin Li<sup>1, 2</sup>, Howa Yeung<sup>1</sup> 1. Department of Dermatology, Emory University School of Medicine, Atlanta, GA, United States. 2. Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, United States. Clinical Research: Epidemiology and Observational Research