{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T22:53:42Z","timestamp":1777935222244,"version":"3.51.4"},"reference-count":33,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T00:00:00Z","timestamp":1774828800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Palliative Medicine"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Despite evidence supporting the benefits of Patient-Reported Outcome Measures (PROMs) in palliative care, their widespread implementation remains unrealized. This article aims to provide key insights and recommendations to aid the implementation of PROMs in health care services by addressing the question: What are the attitudes of health care professionals toward PROMs in palliative care, as reported in the qualitative literature?<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We conducted a systematic search with a narrative synthesis of the findings. Systematic searches of Medline, EMBASE, CINAHL, and PsycInfo were undertaken for studies with qualitative evidence, published between June 2013 and January 2025. Included studies were primary studies using qualitative methods to explore health care professionals\u2019 attitudes and experiences with PROMs in adult palliative care settings. Study quality was appraised using the Critical Appraisal Skills Program checklist, and findings were synthesized using thematic analysis informed by a hermeneutic framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Nineteen studies met the inclusion criteria and were included for analysis. We identified three central themes regarding the attitudes of health care professionals toward PROMs: (1) the effect of PROMs on the provision of health care, (2) the contribution of PROMs in delivering patient-centered care, and (3) the integration of PROMs into clinical practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Given the ongoing challenges in integrating PROMs into routine palliative care, a systematic implementation approach is imperative. Our findings highlight important areas that require detailed consideration to enhance routine PROM implementation in clinical care, by reducing barriers and attending to clinician concerns.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10966218261433434","type":"journal-article","created":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T06:12:06Z","timestamp":1774937526000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The Attitudes of Health Care Professionals Toward the Use of Patient-Reported Outcome Measures in Palliative Care: A Systematic Search and Narrative Synthesis of the Qualitative Literature"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-0211-9239","authenticated-orcid":false,"given":"Ashwin","family":"Agarwal","sequence":"first","affiliation":[{"name":"St Vincent\u2019s Clinical School, Melbourne Medical School, University of Melbourne, Melbourne, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian","family":"Le","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Melbourne, Melbourne, Australia."},{"name":"Department of Palliative Care, Peter MacCallum Cancer Centre, Melbourne, Australia."},{"name":"Department of Palliative Care, The Royal Melbourne Hospital, Melbourne, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Philip","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Melbourne, Melbourne, Australia."},{"name":"Department of Palliative Care, Peter MacCallum Cancer Centre, Melbourne, Australia."},{"name":"Department of Palliative Care, The Royal Melbourne Hospital, Melbourne, Australia."},{"name":"Department of Palliative Care, St Vincent\u2019s Hospital Melbourne, Melbourne, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,3,30]]},"reference":[{"key":"e_1_3_2_2_1","volume-title":"Clinical Practice Guidelines for Quality Palliative Care","author":"National Consensus Project for Quality Palliative Care","year":"2018","unstructured":"1.National Consensus Project for Quality Palliative Care. Clinical Practice Guidelines for Quality Palliative Care, 4th ed. National Coalition for Hospice and Palliative Care: Richmond, VA; 2018. Available from: https:\/\/www.nationalcoalitionhpc.org\/ncp","edition":"4"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c186"},{"key":"e_1_3_2_4_1","unstructured":"3.Williams K Sansoni J Morris D et al. Patient-reported outcome measures: Literature review. Australian Commission on Safety and Quality in Health Care: Sydney NSW; 2016. Available from: https:\/\/www.safetyandquality.gov.au\/sites\/default\/files\/migrated\/PROMs-Literature-Review-December-2016.pdf"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0267030"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269216315589898"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2014.07.010"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.12688\/f1000research.131479.1"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269216313491619"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2013-002524"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-020-4939-7"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"e_1_3_2_13_1","unstructured":"12.Critical Skills Appraisal Programme. CASP Checklist: For Qualitative Research. Oxford UK; 2024. 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