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Table 1 Greenhalgh [24] model hypothesizing pathways of influence and impact in using PROM in clinical settings

From: Protocol for a Delphi consensus exercise to identify a core set of criteria for selecting health related outcome measures (HROM) to be used in primary health care

Clinical Goal of PROM Impact of PROM use
Change the content and nature of the communication between the family doctor/ primary health care team and the patient/consumer to improve patient centered care Changes to patient behaviour
Monitor health status or response to treatment Changes to the clinical management of patient’s/consumers
Detect unrecognized problems or screen for disease problems in those at high risk Improved health outcomes and satisfaction of patient
  Facilitation of communication amongst multidisciplinary teams
  Evaluation of the effectiveness of routine care and assessing the quality of care