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Does assessment of patient satisfaction with pain care lead to patient harm?

机译：评估患者对疼痛护理的满意度是否会导致患者伤害？

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摘要

As part of the value proposition in healthcare, there is growing interest in patient reported outcomes (PRO) and their measurement (PROMs). Within that paradigm, there is interest in improving patient satisfaction with health care. This is due in no small part to the value-based purchasing initiatives by the Centers for Medicare and Medicaid Services (CMS), which links patient satisfaction to payment for health care services.1 However, questions abound with regard to the appropriateness of such a link, especially with regard to patient satisfaction with pain care.2 Indeed, concern has been raised that linking payment to patient satisfaction with pain care may lead to an increase in the use of opioids, increasing the risk of patient harm, and thus worsening patient outcomes. In this perspective, we will outline an approach to improving satisfaction with pain management in the hospital setting while minimizing potential harm from the current focus on performance measures.
机译：作为医疗保健价值主张的一部分，人们对患者报告结果（PRO）及其测量（PROM）的兴趣与日俱增。在该范例中，有兴趣提高患者对医疗保健的满意度。这在很大程度上要归功于医疗保险和医疗补助中心（CMS）的基于价值的购买计划，该计划将患者的满意度与医疗服务的付款联系起来。1但是，对于此类医疗服务的适当性存在很多疑问。链接，特别是在患者对疼痛护理的满意度方面。2确实，有人担心将付款与患者对疼痛护理的满意度联系起来可能会导致阿片类药物的使用增加，增加患者遭受伤害的风险，从而使患者恶化结果。从这个角度出发，我们将概述一种方法，以提高对医院环境中疼痛管理的满意度，同时从当前对绩效指标的关注出发，最大程度地减少潜在的伤害。

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