Original ArticlesChronic Condition Measurement Requires Engagement, Not Measurement AloneAustin, Andrea M. PhD; Carmichael, Don MDiv; Berry, Scott MS; Gozansky, Wendolyn S. MD; Nelson, Eugene C. DSc; Skinner, Jonathan S. PhD; Barr, Paul J. PhD Author Information The Dartmouth Institute for Health Policy & Clinical Practice, Dartmouth College, Lebanon, New Hampshire (Drs Austin, Carmichael Nelson, Skinner, and Barr and Mr Berry); and Institute for Health Research, Kaiser Permanente Colorado, Denver (Dr Gozansky). Correspondence: Andrea M. Austin, PhD, The Dartmouth Institute for Health Policy & Clinical Practice, Dartmouth College, One Medical Center Dr, Lebanon NH 03784 ([email protected]). Author Contributions: A.M.A., D.C., J.S.S., and P.J.B. contributed to the design, analysis, and interpretation of data. A.M.A., D.C., J.S.S., P.J.B., S.B., W.S.G., contributed to the design and collection of data. A.M.A., J.S.S., and P.J.B. drafted the manuscript. All authors reviewed the manuscript. All authors gave approval of the version to be published.This work was supported by the National Institute of Aging grant no. NIA P01 AG19783.No authors have declared a conflict of interest. Journal of Ambulatory Care Management: October/December 2019 - Volume 42 - Issue 4 - p 295-304 doi: 10.1097/JAC.0000000000000300 Buy Metrics Abstract Patient-reported outcome measures (PROMs) have great promise, but evidence of success is mixed. This study uses data from Dartmouth-Hitchcock Medical Center and Kaiser-Permanente Colorado to evaluate providing PROMs directly to the primary care physician. We compared changes over time in urinary incontinence, falls, and mental and physical health between clinics providing augmented PROMs (N = 202 patients) and control clinics (N = 102 patients). Both the control and treatment groups exhibited improvements, but there was no significant difference in outcomes over time. These results suggest that measuring and printing out PROMs for primary care physicians will not result in better patient outcomes without physician clinical engagement. © 2019 Wolters Kluwer Health, Inc. All rights reserved.