Transforming Patient‐Reported Outcome Measurement With Digital Health Technology
Bibliographic record
Abstract
Healthcare is shifting from a provider-centric to a patient-centric model, emphasizing the integration of patient-reported outcome measures (PROMs) into routine practice. PROMs enhance shared decision-making and provide valuable insights into patient well-being, yet their widespread implementation is hindered by logistical challenges, time constraints, and infrastructure limitations. Digital health solutions offer a promising approach to overcoming these barriers by streamlining PROM administration, improving accessibility, and optimizing clinical integration. This article explores the transition from paper-based to digital PROM administration, the advantages of computerized adaptive testing (CAT), and the broader considerations necessary to ensure effective implementation. By leveraging digital tools and informatics strategies, healthcare systems can facilitate the meaningful adoption of PROMs to improve patient-centred care. This article can be used to advance PROM implementation across various clinical settings.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.052 | 0.156 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.005 | 0.005 |
| Science and technology studies | 0.001 | 0.003 |
| Scholarly communication | 0.006 | 0.005 |
| Open science | 0.002 | 0.006 |
| Research integrity | 0.001 | 0.003 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".