부산대학교 도서관

The systematic collection of patient-reported outcome measures (PROMs) and patient-reported experience measures (PREMs) is undoubtedly a sine qua non for strategy in value-based health care. Digital transformation is fundamental for sustainable data collection and analysis. In December 2019, Quirónsalud 4-H Network (a privately managed, government-funded health care network in Madrid, Spain, serving around 1 million inhabitants through its four tertiary hospitals) launched the E-Res Salud program (Evaluation of Health Results), a configurable digital framework for the capture and analysis of PROMs and PREMs that is flexible enough to be implemented in different clinical conditions and procedures. Here, the authors describe the framework's design and its relevance for clinical practice and hospital management. As of June 2023, 15 conditions and procedures have been included in the E-Res Salud program, with 18,602 patients actively participating by responding to questionnaires automatically sent out over the Quirónsalud Patient Portal. Patient satisfaction is high, with more than 60% of patients (438 of 698) rating the program with a Net Promoter Score of 9 or 10 on a 0-10 scale. E-Res Salud has catalyzed Quirónsalud 4-H Network's digital health strategy, spurring initiatives to increase patient access to its patient portal, with more than 80% of patients registered for access in 2022. Currently, the E-Res Salud database enables clinical leaders and hospital management to make data-driven decisions such as prioritizing goals and allocating resources. In daily clinical practice, patient-reported information provides patients with automated feedback and medical advice, helps physicians to communicate more effectively with their patients, facilitates symptom control, and aids the decision-making process.