Greater acknowledgement of the value of assessing psychological factors and patient experiences after orthopaedic trauma may support policymaking regarding the provision of psychological therapies... Show moreGreater acknowledgement of the value of assessing psychological factors and patient experiences after orthopaedic trauma may support policymaking regarding the provision of psychological therapies as part of care. The first part focusses on factors associated with PROMs, such as pain intensity and depression, and with PREMs, such as satisfaction and communication effectiveness. The influence of psychological distress and family involvement is consistent and both minor and major trauma have a notable risk of developing symptoms of depression. In the second part of this thesis, the use of shorter and various questionnaires was evaluated for measuring patient experience to improve care. Given the mounting evidence of a common factor underlying PREMs as currently formulated, it might prove possible to measure patient experience using just a few questions, instead of measuring communication and satisfaction separately. In the last part, the use of pre-visit phone calls and software for emotion recognition was evaluated. Phone calls can replace in-person visits to establish the diagnosis and suggest treatment options. The ability to measure a patient’s mindset on the clinician’s face confirms that clinicians are registering the psychological aspects of illness, irrespective of whether they are consciously aware of them or not. Show less
Hiele, K. van der; Gorp, D.A.M. van; Heerings, M.A.P.; Van Lieshout, I.; Jongen, P.J.; Reneman, M.F.; ... ; Visser, L.H. 2015
