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FOTO Rehab Outcomes Blog

The Potential of Patient Reported Outcomes

Turning out attention to those outside the rehabilitation industry allows for the introduction of new perspectives.

A very recent New England Journal of Medicine shared a perspective on patient reported outcomes. 

I typically focus on curating material that helps you improve your outcomes. Although this particular article is not research oriented, I found it has value. I have a feeling that more often than not patient reported outcomes are tossed upon us as a requirement. There is always a difference in attitude whenever you have to do something because you have to do it versus wanting to do it. If you have to do something because it has been sprung upon you, chances are you'll just go through the motions to get it done.

A quote within the article caught my eye.

As comfort with PROs has grown, feedback has increasingly underscored that clinicians find collecting PROs to be beneficial rather than burdensome. Evidence from experienced users suggests PRO collection may even enhance physician satisfaction and prevent burnout. 

I hadn't really thought of clinician satisfaction and burnout as a factor that could be affected by patient reported outcomes. I know I'm able to make quicker decisions, even on the first day as I piece together FOTO's patient report and the patient's story.  Clinical practice is full of ambiguity and unknowns. During my examination and evaluation process, the first question in my head that needs answering is, "are my services warranted at this time?"  

As was mentioned in the below article, I find the same thing true with regard to my time with patients during their first visit. I don't have to completely focus on dotting i's and crossing t's. I spend time reviewing the FOTO patient report and then, my brain can immediately jump into curiosity mode and a conversation happens. The visit doesn't feel as it had in the past where I had to spend the majority of my time asking versus now where I have a two-way conversation. The visit is more relaxed and driven by the patient and the patient's needs and concerns. 

I hadn't really ever thought about my feelings, my satisfaction and my burnout level with regard to patient reported outcomes. I think a valid point has been made just based on how I feel less stressed, seem to more easily make decisions and can more readily engage in a two way conversation in which it isn't totally about me acquiring all the details.

Here's a quick view of the abstract. 


Making Patients and Doctors Happier - The Potential of Patient-Reported Outcomes.

 2017 Oct 5;377(14):1309-1312. doi: 10.1056/NEJMp1707537.

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