{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T12:39:39Z","timestamp":1791635979352,"version":"4.3.4"},"reference-count":44,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T00:00:00Z","timestamp":1786492800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T00:00:00Z","timestamp":1786924800000},"content-version":"vor","delay-in-days":5,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100002839","name":"Charit\u00e9 - Universit\u00e4tsmedizin Berlin","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100002839","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Health Serv Res"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Healthcare systems increasingly use patient-reported outcome measures (PROMs) to complement traditional clinical and performance-based outcomes by capturing health outcomes from the patient perspective and supporting quality improvement and patient-centred care. In Switzerland, the National competence centre for quality measurements in hospitals and clinics ANQ performs the external quality development program. We conducted a nationwide pilot study in inpatient rehabilitation using the generic PROMIS GH-10 to assess its suitability as an outcome for quality development by evaluating its responsiveness and feasibility of implementation in everyday clinical practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Our study applied a mixed-method observational design. In a multi-stage expert-based selection process, the PROMIS GH-10 was selected for piloting. In total, 28 rehabilitation clinics recruited patients during the study period and asked them to fill in the PROMIS GH-10 digitally or paper-based at admission and discharge. After the survey, healthcare professionals (HCPs) were asked to document the level of assistance required by patients. Mean T-scores and effect sizes (Cohen\u2019s d) were calculated. Assistance requirements were analysed using descriptive statistics. Additionally, qualitative interviews were completed with HCPs to assess facilitating factors and barriers to implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A sample of 2,083 patients was included, resulting in 1,217 complete pre-post measurements. Mean T-scores (SD) for PROMIS GH-10 subscales physical health (PHS) and mental health (MHS) significantly improved (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) from admission to discharge (total sample PHS: 39.3(7.4); 44.4(7.6); d\u2009=\u20090.68; MHS: 44.9(8.0); 48.7(7.5); d\u2009=\u20090.48). Effect sizes on PHS ranged from d\u2009=\u20090.50\u20130.95 and on MHS from d\u2009=\u20090.33\u20131.19. Overall, 41% of patients required assistance in answering the PROM. Barriers to implementation from HCP perspective included uncertainties about the benefit of a generic PROM and the lack of staff resources. Facilitators were the questionnaire\u2019s brevity and the value of including the patient perspective.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>PROMIS GH-10 showed significant pre-post effects on physical and mental health in Swiss inpatient rehabilitation. Nonetheless, barriers such as increased time needed for assistance in special patient groups should be considered before national implementation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12913-026-15291-7","type":"journal-article","created":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T03:53:31Z","timestamp":1786506811000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Strengthening the patient perspective in quality development: a mixed-methods observational study on suitability of the PROMIS GH-10 in Swiss inpatient rehabilitation"],"prefix":"10.1186","volume":"26","author":[{"given":"Marie","family":"Utsch","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gavin","family":"Brupbacher","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaia","family":"Garuffi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anke","family":"Scheel-Sailer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephan","family":"Tobler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuela","family":"Marquardt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,12]]},"reference":[{"key":"15291_CR1","unstructured":"IQTIG. Methodische Grundlagen [Methodological Foundations]. Draft version 2.1. 2024."},{"issue":"1","key":"15291_CR2","doi-asserted-by":"publisher","first-page":"57","DOI":"10.1177\/1355819617740925","volume":"23","author":"J Greenhalgh","year":"2018","unstructured":"Greenhalgh J, Dalkin S, Gibbons E, Wright J, Valderas JM, Meads D, Black N. How do aggregated patient-reported outcome measures data stimulate health care improvement? A realist synthesis. J Health Serv Res Policy. 2018;23(1):57\u201365. https:\/\/doi.org\/10.1177\/1355819617740925.","journal-title":"J Health Serv Res Policy"},{"key":"15291_CR3","doi-asserted-by":"publisher","first-page":"125","DOI":"10.1016\/j.jclinepi.2017.04.017","volume":"89","author":"VK Noonan","year":"2017","unstructured":"Noonan VK, Lyddiatt A, Ware P, Jaglal SB, Riopelle RJ, Bingham CO, et al. Montreal accord on patient-reported outcomes (PROs) use series \u2013 paper 3: patient-reported outcomes can facilitate shared decision-making and guide self-management. J Clin Epidemiol. 2017;89:125\u201335. https:\/\/doi.org\/10.1016\/j.jclinepi.2017.04.017.","journal-title":"J Clin Epidemiol"},{"issue":"14","key":"15291_CR4","doi-asserted-by":"publisher","first-page":"1309","DOI":"10.1056\/NEJMp1707537","volume":"377","author":"LS Rotenstein","year":"2017","unstructured":"Rotenstein LS, Huckman RS, Wagle NW. Making patients and doctors happier \u2014 the potential of patient-reported outcomes. N Engl J Med. 2017;377(14):1309\u201312. https:\/\/doi.org\/10.1056\/NEJMp1707537.","journal-title":"N Engl J Med"},{"issue":"2","key":"15291_CR5","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1007\/s11136-007-9295-0","volume":"17","author":"JM Valderas","year":"2008","unstructured":"Valderas JM, Kotzeva A, Espallargues M, Guyatt G, Ferrans CE, Halyard MY, et al. The impact of measuring patient-reported outcomes in clinical practice: a systematic review of the literature. Qual Life Res. 2008;17(2):179\u201393. https:\/\/doi.org\/10.1007\/s11136-007-9295-0.","journal-title":"Qual Life Res"},{"key":"15291_CR6","unstructured":"OECD. Does healthcare deliver?: results from the patient-reported indicator surveys (PaRIS). Paris: OECD Publishing; 2025."},{"key":"15291_CR7","unstructured":"BAG. Strategie zur Qualit\u00e4tsentwicklung in der Krankenversicherung [Strategy for quality development in health insurance]. 2022."},{"issue":"12","key":"15291_CR8","doi-asserted-by":"publisher","first-page":"864","DOI":"10.1055\/s-0029-1239516","volume":"71","author":"M Koller","year":"2009","unstructured":"Koller M, Neugebauer EAM, Augustin M, B\u00fcssing A, Farin E, Klinkhammer-Schalke M, et al. Die Erfassung von Lebensqualit\u00e4t in der Versorgungsforschung \u2013 konzeptuelle, methodische und strukturelle Voraussetzungen. Das Gesundheitswes. 2009;71(12):864\u201372. https:\/\/doi.org\/10.1055\/s-0029-1239516.","journal-title":"Das Gesundheitswes"},{"issue":"1","key":"15291_CR9","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1001\/jama.1995.03520250075037","volume":"273","author":"IB Wilson","year":"1995","unstructured":"Wilson IB, Cleary PD. Linking clinical variables with health-related quality of life: a conceptual model of patient outcomes. JAMA. 1995;273(1):59\u201365. https:\/\/doi.org\/10.1001\/jama.1995.03520250075037.","journal-title":"JAMA"},{"key":"15291_CR10","unstructured":"WHO. International Classification of Functioning, Disability and Health (ICF). 2025; Available from: https:\/\/www.who.int\/standards\/classifications\/international-classification-of-functioning-disability-and-health."},{"key":"15291_CR11","doi-asserted-by":"publisher","unstructured":"K\u00f6hn S, Schlumbohm A, Marquardt M, Scheel-Sailer A, Tobler S, Vontobel J, et al. Predicting non-response in patient-reported outcome measures: results from the Swiss quality assurance programme in cardiac inpatient rehabilitation. Int J Qual Health Care. 2022;34(4):mzac093. https:\/\/doi.org\/10.1093\/intqhc\/mzac093.","DOI":"10.1093\/intqhc\/mzac093"},{"key":"15291_CR12","unstructured":"Steinbeck V, Ernst S-C, Pross C. Patient-reported outcome measures (PROMs): ein internationaler Vergleich [Patient-reported outcome measures (PROMs): an international comparison]. G\u00fctersloh: Bertellsmann Stiftung; 2021."},{"issue":"11","key":"15291_CR13","doi-asserted-by":"publisher","first-page":"3015","DOI":"10.1007\/s11136-020-02564-9","volume":"30","author":"AM Stover","year":"2021","unstructured":"Stover AM, Haverman L, van Oers HA, Greenhalgh J, Potter CM, Ahmed S, et al. Using an implementation science approach to implement and evaluate patient-reported outcome measures (PROM) initiatives in routine care settings. Qual Life Res. 2021;30(11):3015\u201333. https:\/\/doi.org\/10.1007\/s11136-020-02564-9.","journal-title":"Qual Life Res"},{"key":"15291_CR14","doi-asserted-by":"publisher","unstructured":"Bull C, Teede H, Watson D, Callander EJ. Selecting and implementing patient-reported outcome and experience measures to assess health system performance. JAMA Health Forum. 2022; 3(4):e220326. https:\/\/doi.org\/10.1001\/jamahealthforum.2022.0326. American Medical Association.","DOI":"10.1001\/jamahealthforum.2022.0326"},{"key":"15291_CR15","unstructured":"H+ Swiss Hospitals. DefReha 4.0 - rehabilitation: definition und mindestanforderungen [Rehabilitation: definition and minimum requirements]. 2025. Available from: https:\/\/www.hplus.ch\/de\/politik\/defrehac. Accessed 15 Sept 2025."},{"issue":"12","key":"15291_CR16","doi-asserted-by":"publisher","first-page":"1500","DOI":"10.1016\/j.ijsu.2014.07.014","volume":"12","author":"JP Vandenbroucke","year":"2014","unstructured":"Vandenbroucke JP, von Elm E, Altman DG, G\u00f8tzsche PC, Mulrow CD, Pocock SJ, et al. Strengthening the reporting of observational studies in epidemiology (STROBE): explanation and elaboration. Int J Surg. 2014;12(12):1500\u201324. https:\/\/doi.org\/10.1016\/j.ijsu.2014.07.014.","journal-title":"Int J Surg"},{"issue":"3","key":"15291_CR17","doi-asserted-by":"publisher","first-page":"301","DOI":"10.1007\/s10654-019-00500-x","volume":"34","author":"W Hoffmann","year":"2019","unstructured":"Hoffmann W, Latza U, Baumeister SE, Br\u00fcnger M, Buttmann-Schweiger N, Hardt J, et al. Guidelines and recommendations for ensuring good epidemiological practice (GEP): a guideline developed by the German Society for Epidemiology. Eur J Epidemiol. 2019;34(3):301\u201317. https:\/\/doi.org\/10.1007\/s10654-019-00500-x.","journal-title":"Eur J Epidemiol"},{"key":"15291_CR18","doi-asserted-by":"publisher","unstructured":"Tovin MM, Wormley ME. Systematic development of standards for mixed methods reporting in rehabilitation health sciences research. Phys Ther. 2023;103(11):pzad084. https:\/\/doi.org\/10.1093\/ptj\/pzad084.","DOI":"10.1093\/ptj\/pzad084"},{"issue":"7","key":"15291_CR19","doi-asserted-by":"publisher","first-page":"873","DOI":"10.1007\/s11136-009-9496-9","volume":"18","author":"RD Hays","year":"2009","unstructured":"Hays RD, Bjorner JB, Revicki DA, Spritzer KL, Cella D. Development of physical and mental health summary scores from the patient-reported outcomes measurement information system (PROMIS) global items. Qual Life Res. 2009;18(7):873\u201380. https:\/\/doi.org\/10.1007\/s11136-009-9496-9.","journal-title":"Qual Life Res"},{"issue":"10","key":"15291_CR20","doi-asserted-by":"publisher","first-page":"1926","DOI":"10.1111\/j.1532-5415.2008.01935.x","volume":"56","author":"F Salvi","year":"2008","unstructured":"Salvi F, Miller MD, Grilli A, Giorgi R, Towers AL, Morichi V, et al. A manual of guidelines to score the modified cumulative illness rating scale and its validation in acute hospitalized elderly patients. J Am Geriatr Soc. 2008;56(10):1926\u201331. https:\/\/doi.org\/10.1111\/j.1532-5415.2008.01935.x.","journal-title":"J Am Geriatrics Soc"},{"key":"15291_CR21","unstructured":"PROMIS Global Health. A brief guide to the PROMIS\u00a9 global health instruments, patient-reported outcomes measurement information system - global health. 2021. https:\/\/www.healthmeasures.net\/images\/PROMIS\/manuals\/Scoring_Manuals_\/PROMIS_Global_Health_Scoring_Manual.pdf."},{"key":"15291_CR22","doi-asserted-by":"publisher","DOI":"10.4324\/9780203771587","volume-title":"Statistical power analysis for the behavioral sciences","author":"J Cohen","year":"2013","unstructured":"Cohen J. Statistical power analysis for the behavioral sciences. Vol. 2. Routledge; 2013."},{"key":"15291_CR23","first-page":"129","volume-title":"Handbuch Methoden der empirischen Sozialforschung [Handbook of methods in empirical social Research]","author":"U Kuckartz","year":"2022","unstructured":"Kuckartz U. Die inhaltlich strukturierende qualitative Inhaltsanalyse [The content-structuring qualitative content analysis]. In: Baur N, Blasius J, editors. Handbuch Methoden der empirischen Sozialforschung [Handbook of methods in empirical social research]. Springer Fachmedien Wiesbaden; 2022. p. 129\u201356."},{"issue":"5","key":"15291_CR24","doi-asserted-by":"publisher","first-page":"582","DOI":"10.1097\/01.MLR.0000062554.74615.4C","volume":"41","author":"GR Norman","year":"2003","unstructured":"Norman GR, Sloan JA, Wyrwich KW. Interpretation of changes in health-related quality of life: the remarkable universality of half a standard deviation. Med Care. 2003;41(5):582\u201392. https:\/\/doi.org\/10.1097\/01.MLR.0000062554.74615.4C.","journal-title":"Med Care"},{"issue":"10","key":"15291_CR25","doi-asserted-by":"publisher","first-page":"2729","DOI":"10.1007\/s11136-021-02925-y","volume":"30","author":"CB Terwee","year":"2021","unstructured":"Terwee CB, Peipert JD, Chapman R, Lai J-S, Terluin B, Cella D, et al. Minimal important change (MIC): a conceptual clarification and systematic review of MIC estimates of PROMIS measures. Qual Life Res. 2021;30(10):2729\u201354. https:\/\/doi.org\/10.1007\/s11136-021-02925-y.","journal-title":"Qual Life Res"},{"issue":"6","key":"15291_CR26","doi-asserted-by":"publisher","first-page":"1540","DOI":"10.1016\/j.arth.2020.01.032","volume":"35","author":"LS Khalil","year":"2020","unstructured":"Khalil LS, Darrith B, Franovic S, Davis JJ, Weir RM, Banka TR. Patient-reported outcomes measurement information system (PROMIS) global health short forms demonstrate responsiveness in patients undergoing knee arthroplasty. J Arthroplasty. 2020;35(6):1540\u201344. https:\/\/doi.org\/10.1016\/j.arth.2020.01.032.","journal-title":"The J Arthroplasty"},{"issue":"2","key":"15291_CR27","doi-asserted-by":"publisher","first-page":"232596712312182","DOI":"10.1177\/23259671231218260","volume":"12","author":"TJ Spiering","year":"2024","unstructured":"Spiering TJ, Firth AD, Mousoulis C, Hallstrom BR, Gagnier JJ. Establishing the minimally important difference for the KOOS\u2013joint replacement and PROMIS global\u201310 in patients after total knee arthroplasty. Orthop J Sports Med. 2024;12(2):23259671231218260. https:\/\/doi.org\/10.1177\/23259671231218260.","journal-title":"Orthopaedic J Sports Med"},{"key":"15291_CR28","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1007\/978-3-642-57114-5_3","volume-title":"Grundlagen der Rehabilitationswissenschaften [Foundations of rehabilitation sciences]","author":"N Gerdes","year":"2000","unstructured":"Gerdes N, Weis J. Zur Theorie der Rehabilitation [On the theory of rehabilitation]. In: Bengel K, Koch U, editors. Grundlagen der Rehabilitationswissenschaften [Foundations of rehabilitation sciences]. Springer; 2000. p. 41\u201368."},{"key":"15291_CR29","doi-asserted-by":"crossref","unstructured":"Mills J-A, et al. Rehabilitation: essential along the continuum of care. In: Disease control priorities: improving health and reducing poverty. 3rd ed. 2017.","DOI":"10.1596\/978-1-4648-0527-1_ch15"},{"key":"15291_CR30","unstructured":"Beierlein V, et al. Der VR-12 als generisches PROM zur vergleichenden Ergebnisqualit\u00e4t in der Rehabilitation - Ergebnisse aus drei Pilotstudien [The VR-12 as a generic PROM for comparative outcome quality in rehabilitation - Results from three pilot studies]. In: 21. Deutscher Kongress f\u00fcr Versorgungsforschung (DKVF). Potsdam: German Medical Science GMS Publishing House; 2022."},{"issue":"2","key":"15291_CR31","doi-asserted-by":"publisher","first-page":"293","DOI":"10.1007\/s11136-023-03495-x","volume":"33","author":"R Sawatzky","year":"2024","unstructured":"Sawatzky R, Sajobi TT, Russell L, Awosoga OA, Ademola A, B\u00f6hnke JR, et al. Response shift results of quantitative research using patient-reported outcome measures: a descriptive systematic review. Qual Life Res. 2024;33(2):293\u2013315. https:\/\/doi.org\/10.1007\/s11136-023-03495-x.","journal-title":"Qual Life Res"},{"key":"15291_CR32","unstructured":"Hillmann S, et al. 12 multimodal interactive assistance for the digital collection of patient-reported outcome measures. In: Herrmann W, et al. editors. The digitalization of healthcare for older adults. 2024. p. 99\u2013108."},{"issue":"4","key":"15291_CR33","doi-asserted-by":"publisher","first-page":"1015","DOI":"10.1111\/hex.13254","volume":"24","author":"K Churruca","year":"2021","unstructured":"Churruca K, Pomare C, Ellis LA, Long JC, Henderson SB, Murphy LED, et al. Patient-reported outcome measures (PROMs): a review of generic and condition-specific measures and a discussion of trends and issues. Health Expect. 2021;24(4):1015\u201324. https:\/\/doi.org\/10.1111\/hex.13254.","journal-title":"Health Expectations"},{"issue":"1","key":"15291_CR34","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12913-023-09050-1","volume":"23","author":"DA Snowdon","year":"2023","unstructured":"Snowdon DA, Srikanth V, Beare R, Marsh L, Parker E, Naude K, et al. A landscape assessment of the use of patient reported outcome measures in research, quality improvement and clinical care across a healthcare organisation. BMC Health Serv Res. 2023;23(1):1\u201315. https:\/\/doi.org\/10.1186\/s12913-023-09050-1.","journal-title":"BMC Health Serv Res"},{"issue":"5","key":"15291_CR35","doi-asserted-by":"publisher","first-page":"767","DOI":"10.1177\/1073191118810057","volume":"26","author":"CJ Kemper","year":"2019","unstructured":"Kemper CJ, Trapp S, Kathmann N, Samuel DB, Ziegler M. Short versus long scales in clinical assessment: exploring the trade-off between resources saved and psychometric quality lost using two measures of obsessive\u2013compulsive symptoms. Assessment. 2019;26(5):767\u201382. https:\/\/doi.org\/10.1177\/1073191118810057.","journal-title":"Assessment"},{"key":"15291_CR36","doi-asserted-by":"crossref","unstructured":"Long C, et al. Patient-level barriers and facilitators to completion of patient-reported outcomes measures. Qual Life Res. 2021;1\u20138.","DOI":"10.1007\/s11136-021-02999-8"},{"issue":"2","key":"15291_CR37","doi-asserted-by":"publisher","first-page":"186","DOI":"10.1002\/jmrs.421","volume":"68","author":"H Nguyen","year":"2021","unstructured":"Nguyen H, Butow P, Dhillon H, Sundaresan P. A review of the barriers to using patient-reported outcomes (PROs) and patient-reported outcome measures (PROMs) in routine cancer care. J Med Radiat Sci. 2021;68(2):186\u201395. https:\/\/doi.org\/10.1002\/jmrs.421.","journal-title":"J Med Radiat Sci"},{"issue":"10","key":"15291_CR38","doi-asserted-by":"publisher","first-page":"2611","DOI":"10.1007\/s11136-024-03728-7","volume":"33","author":"M Anderson","year":"2024","unstructured":"Anderson M, van Kessel R, Wood E, Stokes A, Fistein J, Porter I, et al. Understanding factors impacting patient-reported outcome measures integration in routine clinical practice: an umbrella review. Qual Life Res. 2024;33(10):2611\u201329. https:\/\/doi.org\/10.1007\/s11136-024-03728-7.","journal-title":"Qual Life Res"},{"issue":"1","key":"15291_CR39","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1186\/s41687-023-00554-2","volume":"7","author":"BG Glenwright","year":"2023","unstructured":"Glenwright BG, Simmich J, Cottrell M, O\u2019Leary SP, Sullivan C, Pole JD, et al. Facilitators and barriers to implementing electronic patient-reported outcome and experience measures in a health care setting: a systematic review. J Patient Rep Outcomes. 2023;7(1):13. https:\/\/doi.org\/10.1186\/s41687-023-00554-2.","journal-title":"J Patient Rep Outcomes"},{"issue":"1","key":"15291_CR40","doi-asserted-by":"publisher","first-page":"1","DOI":"10.2196\/15588","volume":"3","author":"J Meirte","year":"2020","unstructured":"Meirte J, Hellemans N, Anthonissen M, Denteneer L, Maertens K, Moortgat P, et al. Benefits and disadvantages of electronic patient-reported outcome measures: systematic review. JMIR Perioper Med. 2020;3(1):1\u201315. https:\/\/doi.org\/10.2196\/15588.","journal-title":"JMIR Perioper Med"},{"issue":"7","key":"15291_CR41","doi-asserted-by":"publisher","first-page":"110792","DOI":"10.1016\/j.injury.2023.05.023","volume":"54","author":"J Saleem","year":"2023","unstructured":"Saleem J, Beak P, Eardley W, Trompeter A. Digitalising patient reported outcome collection tools in orthopaedic trauma\u2013A scoping review. Injury. 2023;54(7):110792\u201396. https:\/\/doi.org\/10.1016\/j.injury.2023.05.023.","journal-title":"Injury"},{"key":"15291_CR42","unstructured":"OECD. Switzerland. In: Does healthcare deliver?: results from the patient-reported indicator surveys (PaRIS). Paris: OECD Publishing; 2025."},{"key":"15291_CR43","unstructured":"Beierlein V, et al. Ergebnismessung in der neurologischen Rehabilitation des Schlaganfalls mit PROMs: Abschlussbericht der Pilotstudie [Outcome measurement in neurological stroke rehabilitation using PROMs: final report of the pilot study]. 2024; Berlin: Qualit\u00e4tskliniken.de."},{"issue":"S2","key":"15291_CR44","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s41687-021-00374-2","volume":"5","author":"F Al Sayah","year":"2021","unstructured":"Al Sayah F, Jin X, Johnson JA. Selection of patient-reported outcome measures (PROMs) for use in health systems. J Patient Rep Outcomes. 2021;5(S2):1\u20135. https:\/\/doi.org\/10.1186\/s41687-021-00374-2.","journal-title":"J Patient Rep Outcomes"}],"container-title":["BMC Health Services Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12913-026-15291-7","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12913-026-15291-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12913-026-15291-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T08:33:12Z","timestamp":1786955592000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s12913-026-15291-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,12]]},"references-count":44,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["15291"],"URL":"https:\/\/doi.org\/10.1186\/s12913-026-15291-7","relation":{},"ISSN":["1472-6963"],"issn-type":[{"value":"1472-6963","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,12]]},"assertion":[{"value":"26 February 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 July 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 August 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"This study did not require the approval of an ethics committee since the data are part of the Swiss national quality assurance program. This was confirmed on 20.07.22 by the Cantonal Commission for Research Ethics of the Health, Social, and Integration Directorate of the Canton of Bern, stating that the project does not fall under the Human Research Act, Article 2, Paragraph 1. The study was conducted in accordance with the ethical principles outlined in the Declaration of Helsinki. From all of the participants in the study an informed consent to participate was obtained and stored in the clinics.","order":1,"name":"Ethics","label":"Ethics approval and consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","label":"Consent for publication","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"1141"}}