Scholarlink

Purpose <p>Patient-centered care (PCC) improves quality of life, symptom management and healthcare outcomes in oncology. However, integration into routine cancer care remains limited. Digital solutions using patient-reported outcome measures (PROMs) offer a potential mechanism to operationalize PCC. This study explored healthcare professionals’ (HCPs) pre-implementation perspectives on using digital PROMs to support PCC in Norwegian oncology outpatient clinics, informing the design and implementation strategies of the European MyPath digital solution.</p> Methods <p>Semi-structured interviews (n = 29) and three focus groups (n = 16) were conducted with varied HCPs across four Norwegian hospitals. Interviews explored perceptions of PCC, experiences with PROMs, and requirements for digital implementation. Data were analyzed using thematic analysis, combining inductive and deductive coding guided by the TPOM framework.</p> Results <p>Four themes emerged: (1) balancing PCC with disease-centered practices, (2) integrating PCC into daily routines, (3) customization and patient acceptance of digital tools, and (4) combining patient-reported data with clinical autonomy. HCPs viewed digital PROMs as promising for facilitating PCC but emphasized that successful implementation requires workflow alignment, adaptable digital solutions, and strong stakeholder engagement. Concerns included patient digital literacy, workload implications, and overreliance on PROMs at the expense of direct patient interaction.</p> Conclusion <p>Our findings highlight a tension between HCPs’ needs for technical functionality and workflow alignment, and the support required to adapt their practice to fully realize PCC through digital tools. Integrating PCC successfully requires organizational, cultural, and workflow adaptations, alongside active HCP engagement in design and implementation. These changes are essential to reposition PCC as an integral rather than competing component of high-quality cancer care.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Balancing ideals and realities: health care professionals’ perspectives of and attitudes toward digital patient-centered cancer care

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年2月18日

查看全文
  • Elias David Lundereng,
  • Alen Brkic,
  • Kate Absolom,
  • Elisabeth Andvik,
  • Kim Beernaert,
  • Kathrin Cresswell,
  • Olav Faisal Dajani,
  • Nienke De Glas,
  • Marie Fallon,
  • Victoria Freitas-Durks,
  • Kristin Vassbotn Guldhav,
  • Marianne Jensen Hjermstad,
  • Stein Kaasa,
  • Geana Paula Kurita,
  • Jo-Åsmund Lund,
  • Nicoleta Mitrea,
  • Steven Olde Damink,
  • Ørnulf Paulsen,
  • Guro Meldre Pedersen,
  • Terese Solvoll Skåre,
  • Tonje Lundeby,
  • Kate Absolom,
  • Morten Andresen,
  • Marek Atter,
  • Dag Ausen,
  • Sara Bea,
  • Kim Beernaert,
  • Augusto Caraceni,
  • Andres Cervantes,
  • Kathrin Cresswell,
  • Olav Dajani,
  • Judith de Vos-Geelen,
  • Luc Deliens,
  • Felicity Evans,
  • Marie Fallon,
  • Victoria Freitas Durks,
  • Teresa Serra Cassano,
  • Inez Gonzalez-Barrallo,
  • Peter Hall,
  • Marianne Jensen Hjermstad,
  • Marisol Huerta,
  • Kristin Solheim Hustad,
  • An Jacobs,
  • Stein Kaasa,
  • Lisa Heide Koteng,
  • Geana Paula Kurita,
  • Henrik Larsen,
  • Ulrik Lassen,
  • Nicola Jane Latino,
  • Tonje Lundeby,
  • Camilla Charlotte Lykke,
  • Giacomo Massa,
  • Ulla Mathiesen,
  • Nicoleta Mitrea,
  • Daniela Mosoiu,
  • Steven Olde Damink,
  • Helle Pappot,
  • Koen Pardon,
  • Cathy Payne,
  • Oana Predoiu,
  • Anne-Lore Scherrens,
  • Morena Shkodra,
  • Per Sjøgren,
  • Eivind Storaas,
  • Amaia Urrizola,
  • Peder Heyderdahl Utne,
  • Femke Van Landschoot,
  • Galina Velikova,
  • Lorraine Warrington,
  • Naomi White,
  • Robin Williams,
  • Adam Stuart Dowrick,
  • Ragnhild Lund Schultz,
  • Julia Götz,
  • Patrick Schneier,
  • Jeanette Müller,
  • Julien Luyten,
  • Anouk de Wilde

摘要

Purpose

Patient-centered care (PCC) improves quality of life, symptom management and healthcare outcomes in oncology. However, integration into routine cancer care remains limited. Digital solutions using patient-reported outcome measures (PROMs) offer a potential mechanism to operationalize PCC. This study explored healthcare professionals’ (HCPs) pre-implementation perspectives on using digital PROMs to support PCC in Norwegian oncology outpatient clinics, informing the design and implementation strategies of the European MyPath digital solution.

Methods

Semi-structured interviews (n = 29) and three focus groups (n = 16) were conducted with varied HCPs across four Norwegian hospitals. Interviews explored perceptions of PCC, experiences with PROMs, and requirements for digital implementation. Data were analyzed using thematic analysis, combining inductive and deductive coding guided by the TPOM framework.

Results

Four themes emerged: (1) balancing PCC with disease-centered practices, (2) integrating PCC into daily routines, (3) customization and patient acceptance of digital tools, and (4) combining patient-reported data with clinical autonomy. HCPs viewed digital PROMs as promising for facilitating PCC but emphasized that successful implementation requires workflow alignment, adaptable digital solutions, and strong stakeholder engagement. Concerns included patient digital literacy, workload implications, and overreliance on PROMs at the expense of direct patient interaction.

Conclusion

Our findings highlight a tension between HCPs’ needs for technical functionality and workflow alignment, and the support required to adapt their practice to fully realize PCC through digital tools. Integrating PCC successfully requires organizational, cultural, and workflow adaptations, alongside active HCP engagement in design and implementation. These changes are essential to reposition PCC as an integral rather than competing component of high-quality cancer care.