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hello Im Adam Smith my background is in psychology and psychometrics I work in the outcomes research team at York health economics is a consortium the first webinar in this series provided a brief introduction to patient reported outcome measures in this webinar will be discussing uses of problems in healthcare so lets discuss problems okay lets recap quickly on the first webinar in this series and consider what it is that proms capture proms capture any report from the patient or service user about their health status that is symptoms and functioning as well as their experiences satisfaction with and preferences for healthcare services these reports come directly from the patient without any intervention or interpretation from the patients health care providers family or any other individuals now that we know what proms capture we can go on to discuss the reasons for wanting to collect prom data problems can be considered as a way of improving quality of care and involving patient