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Table 3 Open-ended barriers to implement PROMs in MHP

From: Use of patient-reported outcome measures (PROMs) in primary care-based mental health programming: an environmental scan of Alberta, Canada

Implementation Barriers– “Provide three examples of barriers to the implementation of PROMs for this program.”

Data collection

Clinic

• Time constraints

• Lack of standards at clinics

• Length of the tool

• Suboptimal visit flow

• Low response rates from patients (anxiety, virtual, perceived lack of purpose, language barriers)

• Usability of the tool for staff/clinicians

• Loss of follow up

• Staff knowledge about how to administer/collect PROMs

• Access to technology for pre-appointment completion

 

• Multiple EMRs (i.e., difficult to integrate data)

 

• Frequency of collection

 

• Appropriateness of the tool