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J Ambul Care Manage. 2018 Oct/Dec;41(4):274-287. doi: 10.1097/JAC.0000000000000248.

Implementation of the PROMIS-29 in Routine Care for People With Diabetes: Challenges and Opportunities.

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National Committee for Quality Assurance, Washington, District of Columbia (Drs Scholle and Bardach and Ms Hart); American Society for Nutrition, Rockville, Maryland (Ms Morton); The University of Oklahoma School of Community Medicine, Tulsa (Mss Homco and Rodriguez and Dr Kendrick); Weitzman Institute, Community Health Center, Inc, Middletown, Connecticut (Dr Anderson); and Northwestern University Feinberg School of Medicine, Chicago, Illinois (Ms Hahn).


Using patient-reported outcome measures (PROMs) in care planning has the potential to improve care, but information about routine implementation in settings serving disadvantaged groups is needed. Two primary care clinics serving populations predominantly eligible for Medicaid and diverse in race/ethnicity implemented the PROMIS-29 as part of clinical care planning. Of the target population with diabetes, 26% (n = 490) completed the PROMs; the proportion that set a goal based on the PROMs differed by site. This report describes factors influencing the PROMs process and the results of interviews with patients and members of the care team about PROMs' implementation and impact.

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