16 Chapter 1 workers have for their patients. Additionally, it imposes on patients who are required to complete time-consuming questionnaires. During development and implementation, it is therefore important to make appropriate decisions on the timing and the frequency of administration when implementing the PROM. The field of Implementation Science emerges as a critical player in understanding and addressing these challenges, employing theories and frameworks to emphasize the factors influencing the success or failure of innovations in healthcare practices.19 Implementation is a continuously ongoing process. By gathering more data, not only on individual level, but on group level as well, greater insights can be achieved. PROMs get more valuable and more accurate. This increased insight could lead to adjusted use of the PROM in daily practice and potentially even shift their role from being merely informative to guiding treatment. Ideally a PROM could help in the decision making, especially when certain PROM criteria prior intervention can guide the professional and patient in the possible outcomes. Figure 2. COSMIN taxonomy of relationships of measurement properties17 Abbreviations: COSMIN; COnsensus-based Standards for the selection of health Measurement Instruments; HR-PRO; health-related patient reported outcome.
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