HIV Provider Documentation and Actions Following Patient Reports of At-risk Behaviors and Conditions When Identified by a Web-Based Point-of-Care Assessment
HIV Provider Documentation and Actions Following Patient Reports of At-risk Behaviors and Conditions When Identified by a Web-Based Point-of-Care Assessment
Crane et al. (2017) compared same-day provider medical record documentation and interventions addressing depression and risk behaviors before and after delivering point-of-care patient-reported outcomes (PROs) feedback for patients who self-reported clinically relevant levels of depression or risk behaviors. Conclusions: Implementing same-day PRO collection and feedback into HIV care improves care. Specifically, it improves provider awareness of depression, inadequate adherence, alcohol, and substance use as measured by documentation. PROs decrease how often providers inaccurately documented good adherence. However, PRO impact varies across domains and there is a much greater impact on provider awareness than on actions suggesting the need for additional interventions.