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Table 6 The overall strength and direction of evidence

From: A systematic review of the impact of routine collection of patient reported outcome measures on patients, providers and health organisations in an oncologic setting

Results Strength and direction of evidence
Patient-provider communication +++
Monitor treatment response ++
Detect unrecognised problems ++
Changes to patient health behaviour n/a
Changes to patient management +
Improved patient satisfaction +++
Improved health outcomes +/0
Strong & effective quality improvement n/a
Increased transparency, accountability, public reporting n/a
Better system performance (monitoring, planning, financing, evaluating, responding) n/a
  1. Note: ++++: the strongest positive effect; xxxx: the strongest negative effect; n/a: not available; 0: mutual (no significant effect).