Nov 2, 2019

Implementation of quality measures and patient-reported outcomes in an epilepsy clinic

Neurology
Lidia M V R MouraDaniel B Hoch

Abstract

To see if systematic collection of patient-reported epilepsy quality measures can identify opportunities to improve care, and to examine the associations between these measures and physical and mental health. We developed a patient-reported questionnaire for medication adherence, seizure frequency, medication side effects, and driving that included the Patient-Reported Outcome Measurement Information System-10 (PROMIS-10) (physical and mental health). We offered it to all adult patients seen twice in an epilepsy clinic (January 2017-January 2018). The questionnaire was available on the web as well as a tablet provided at appointment check-in. We used the first completed questionnaire to explore the relationship between patient-reported care quality and measures of physical and mental health. A total of 610 unique patients (15% of the total encounters) completed a survey. Respondents were comparable to nonrespondents. Respondents reported gaps in care or opportunities for quality improvement in 48.4% (n = 295) of the encounters. Of patients who reported at least 1 seizure per month over the previous 3 months, 55.2% (n = 100) reported problems with adherence, 30.0% (n = 131) reported having problems believed to be adverse reactio...Continue Reading

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Citations

Mentioned in this Paper

Clinic
Patient Appointments
Epilepsy
Selex Aptamer Technique
Patient Care
Adverse Effects
Mental Health
Informing Patient
Respondents
Adverse Reactions

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