{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T22:46:46Z","timestamp":1782168406176,"version":"3.54.5"},"reference-count":41,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2025,5,23]],"date-time":"2025-05-23T00:00:00Z","timestamp":1747958400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>This study aims to review the effectiveness of electronic patient-reported outcome measures (ePROMs) to triage and schedule appointments for adult patients with chronic medical conditions.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and Methods<\/jats:title>\n                  <jats:p>A structured search was implemented in electronic databases for randomized controlled trials that compared use of ePROMs to facilitate flexible scheduling of appointments (intervention) with conventional scheduling practices (control) in adult outpatients with chronic medical condition. The primary outcome was the difference in healthcare utilization, measured by the number of outpatient physical appointments. Secondary outcomes include disease control and implementational outcomes. A meta-analysis using random effects modeling was performed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The search strategy yielded 3769 citations and 1 additional article from hand search; 17 randomized controlled trials (6469 patients) were included. Most studies focused on cancer (n\u2009=\u20099) or rheumatoid arthritis (n\u2009=\u20093). Six out of 10 studies comparing the number of physical appointments showed that ePROMs significantly reduced the mean number of physical appointments, while 1 study reported increased appointments. A meta-analysis of 6 studies with sufficient data for pooling indicated that the ePROMs group had fewer appointments, with a mean difference of \u22121.12 (CI, \u22121.87 to \u22120.37). Among 10 studies evaluating disease control, 2 showed improved disease control with ePROMs, 2 reported improved survival in cancer patients, while 6 found no significant differences.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Current evidence supports the feasibility and acceptability of incorporating ePROMs in outpatient visit scheduling, with a reduction in physical appointments without compromising disease outcomes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>ePROMs can be used to support and guide decisions regarding outpatient appointment scheduling.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jamia\/ocaf078","type":"journal-article","created":{"date-parts":[[2025,5,23]],"date-time":"2025-05-23T12:59:08Z","timestamp":1748005148000},"page":"1219-1226","source":"Crossref","is-referenced-by-count":6,"title":["Electronic patient-reported outcome measures for triaging and scheduling outpatient appointments: a systematic review and meta-analysis"],"prefix":"10.1093","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4113-0886","authenticated-orcid":false,"given":"Chen","family":"He","sequence":"first","affiliation":[{"name":"Department of Medicine, National University Hospital , Singapore 119074,","place":["Singapore"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-5449-5582","authenticated-orcid":false,"given":"Yuelin","family":"Xia","sequence":"additional","affiliation":[{"name":"Yong Loo Lin School of Medicine, National University of Singapore , Singapore 117597,","place":["Singapore"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying Shan","family":"Cheung","sequence":"additional","affiliation":[{"name":"Department of Medicine, National University Hospital , Singapore 119074,","place":["Singapore"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sze Tung","family":"Lam","sequence":"additional","affiliation":[{"name":"Department of Medicine, National University Hospital , Singapore 119074,","place":["Singapore"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0678-7380","authenticated-orcid":false,"given":"Suephy C","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Duke University School of Medicine, Durham VA Medical Center , Durham, NC 27710,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9299-1555","authenticated-orcid":false,"given":"Jose M","family":"Valderas","sequence":"additional","affiliation":[{"name":"Centre for Research in Health Systems Performance (CRiHSP), Yong Loo Lin School of Medicine, National University of Singapore , Singapore 117549,","place":["Singapore"]},{"name":"Division of Family Medicine, Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore , Singapore 119228,","place":["Singapore"]},{"name":"Department of Family Medicine and National University Polyclinics, National University Health System , Singapore 119228,","place":["Singapore"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2059-3478","authenticated-orcid":false,"given":"Ellie","family":"Choi","sequence":"additional","affiliation":[{"name":"Yong Loo Lin School of Medicine, National University of Singapore , Singapore 117597,","place":["Singapore"]},{"name":"Division of Dermatology, Department of Medicine, National University Hospital , Singapore 119074,","place":["Singapore"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,5,23]]},"reference":[{"key":"2025062700261919700_ocaf078-B1","doi-asserted-by":"crossref","first-page":"682","DOI":"10.1097\/ACM.0000000000003122","article-title":"Defining and implementing value-based health care: a strategic framework","volume":"95","author":"Teisberg","year":"2020","journal-title":"Acad Med"},{"key":"2025062700261919700_ocaf078-B2","doi-asserted-by":"crossref","first-page":"2501","DOI":"10.1016\/j.socscimed.2004.11.022","article-title":"Influence of waiting time on cost-effectiveness","volume":"60","author":"Koopmanschap","year":"2005","journal-title":"Soc Sci Med"},{"key":"2025062700261919700_ocaf078-B3","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1016\/j.socscimed.2016.05.043","article-title":"Do waiting times affect health outcomes? 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